Gritman Medical Center INC

NPI #1942567847 in Troy, Idaho

Provider Information

NPI Number: 1942567847
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: Apr 16, 2012
Last Updated: Oct 9, 2016

Practice Location

Address: 412 S MAIN ST
City: Troy
State: Idaho
ZIP Code: 83871-0415
Phone: (208) 835-5550

Authorized Official

Name: MR. PATRICK MCCONNELL
Title: CFO
Phone: (208) 883-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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