Gritman Medical Center Inc.

NPI #1790182590 in Moscow, Idaho

Provider Information

NPI Number: 1790182590
Entity Type: Organization
Organization Name: Gritman Medical Center Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: GRITMAN MEDICAL CENTER INC.
Primary Specialty: Clinic/Center
Enumeration Date: Nov 24, 2014
Last Updated: Dec 4, 2015

Practice Location

Address: 804 S WASHINGTON ST STE A
City: Moscow
State: Idaho
ZIP Code: 83843-3182
Phone: (208) 883-1152

Authorized Official

Name: PRESTON J BECKER
Title: CFO
Phone: (208) 883-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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