National Provider Identifier Database

GRITMAN MEDICAL CENTER INC
Critical Access

Contact Information

GRITMAN MEDICAL CENTER INC
700 S MAIN ST
MOSCOW, ID  83843-3056
Phone: 208-882-4511
Fax: 208-883-6580
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Diabetes Educator 163WD0400X

* Indicates primary specialty

NPI Profile & details for GRITMAN MEDICAL CENTER INC

NPI Number 1619988144
Legal business name
LBN		 GRITMAN MEDICAL CENTER INC
Authorized official KARA BESST - (PRESIDENT/ CEO)
Entity Organization
Organization subpart No
Enumeration date 08/10/2006
Last updated 01/07/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 39
  • AZ Medicaid: 028771
  • CA Medicaid: XHSP30916
  • CO Medicaid: 81536887
  • ID Medicaid: 002249600
  • ID Medicaid: 002249700
  • MT Medicaid: 4103681
  • OR Medicaid: 170811
  • WA Medicaid: 3305307
  • WA Medicaid: 7258908
  • ID Other: 00034 BLUE CROSS FACILITY
  • ID Other: 87734 BLUE CROSS PROFEE
  • ID Other: 000010002310 REGENCE FACILITY
  • ID Other: 000010002311 REGENCE PROFEE
  • WA Other: 10964 WA L & I FACILITY
  • WA Other: 96772 WA L&I PROFEE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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