GRITMAN MEDICAL CENTER INC NPI 1235626474

NPI Information

NPI: 1235626474
Provider Name: GRITMAN MEDICAL CENTER INC

Doing Business As: GRITMAN PSYCHIATRIC SERVICES

Classification:
Entity Type: Organization
Address:
803 S MAIN ST STE 210
MOSCOW, ID
ZIP 83843
Phone: (208) 883-6774
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GRITMAN MEDICAL CENTER INC is a healthcare provider in Moscow, ID. GRITMAN MEDICAL CENTER INC NPI is 1235626474. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gritman Psychiatric Services.

The provider's business location address is:

803 S MAIN ST STE 210
MOSCOW, ID
ZIP 83843-695
Phone: (208) 883-6774
Fax: (208) 883-1398

The provider's authorized official is Teresa Thorston .
The authorized official title is Pfs Super Visor and has the following contact phone number (208) 885-4511.

The enumeration date for this NPI number is 4/13/2018 and was last updated on 5/1/2018.

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	2084P0800X	Psychiatry & Neurology	Psychiatry	39	IDAHO	No

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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