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Contact Information

GRITMAN MEDICAL CENTER INC
700 S MAIN ST
MOSCOW, ID83843-3056
 Phone: 208-882-4511
 Fax: 208-883-6580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Access

282NC0060X A0[7] Critical Access Hospital
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for GRITMAN MEDICAL CENTER INC

NPI Number 1619988144
LBN Legal business name GRITMAN MEDICAL CENTER INC
Authorized official KARA BESST - (PRESIDENT/ CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 01/07/2022 - About 4 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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