Gritman Medical Center, Inc.

NPI #1538634522 in Moscow, Idaho

Provider Information

NPI Number: 1538634522
Entity Type: Organization
Organization Name: Gritman Medical Center, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: GRITMAN MEDICAL CENTER, INC.
Primary Specialty: Family Medicine
Enumeration Date: Oct 5, 2018
Last Updated: Oct 15, 2018

Practice Location

Address: 623 S MAIN ST STE 1
City: Moscow
State: Idaho
ZIP Code: 83843-3042
Phone: (208) 882-2011

Authorized Official

Name: MRS. DANIELLE LYNAS
Title: CFO
Phone: (208) 883-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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