GRITMAN MEDICAL CENTER NPI 1730387424

NPI Information

NPI: 1730387424
Provider Name: GRITMAN MEDICAL CENTER

Doing Business As: PALOUSE PSYCHIATRY

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
804 S WA
A
MOSCOW, ID
ZIP 83843
Phone: (208) 883-6476
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GRITMAN MEDICAL CENTER is an adult mental health clinic center in Moscow, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. GRITMAN MEDICAL CENTER NPI is 1730387424. The provider is registered as an organization entity type.
The provider Is Doing Business As Palouse Psychiatry.

The provider's business location address is:

804 S WA
A
MOSCOW, ID
ZIP 83843
Phone: (208) 883-6476
Fax: (208) 883-6562

The provider's authorized official is Jeffrey Martin .
The authorized official title is Ceo and has the following contact phone number (208) 882-4511.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 8/22/2020.

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	261QM0850X	Clinic/Center	Adult Mental Health	39	IDAHO	Yes

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: 5/5/2024

NPI Synchronization or Removal

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