GRITMAN MEDICAL CENTER INC NPI 1619988144

NPI Information

NPI: 1619988144
Provider Name: GRITMAN MEDICAL CENTER INC
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
700 S MAIN ST
MOSCOW, ID
ZIP 83843
Phone: (208) 882-4511
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GRITMAN MEDICAL CENTER INC is a critical access general acute care hospital in Moscow, ID. GRITMAN MEDICAL CENTER INC NPI is 1619988144. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

700 S MAIN ST
MOSCOW, ID
ZIP 83843-056
Phone: (208) 882-4511
Fax: (208) 883-6580

The provider's authorized official is Kara L Besst .
The authorized official title is President/ Ceo and has the following contact phone number (208) 883-2220.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 1/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator			No
2	282NC0060X	General Acute Care Hospital	Critical Access	39	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10964	OTHER	WASHINGTON	WA L & I FACILITY
2	170811	MEDICAID	OREGON
3	028771	MEDICAID	ARIZONA
4	4103681	MEDICAID	MONTANA
5	000010002311	OTHER	IDAHO	REGENCE PROFEE
6	96772	OTHER	WASHINGTON	WA L&I PROFEE
7	87734	OTHER	IDAHO	BLUE CROSS PROFEE
8	3305307	MEDICAID	WASHINGTON
9	7258908	MEDICAID	WASHINGTON
10	00034	OTHER	IDAHO	BLUE CROSS FACILITY
11	002249600	MEDICAID	IDAHO
12	81536887	MEDICAID	COLORADO
13	XHSP30916	MEDICAID	CALIFORNIA
14	000010002310	OTHER	IDAHO	REGENCE FACILITY
15	002249700	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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