GRITMAN MEDICAL CENTER INC (NPI# 1386041119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386041119 |
| Entity Type | Organization |
| Organization Name | GRITMAN MEDICAL CENTER INC |
| Other Organization Name | GRITMAN SWING BED PROGRAM |
| Practice Address |
700 S Main St Moscow ID 83843-3056 |
| Practice Telephone | 2088824511 |
| Practice Fax Number | 2088836580 |
| Mailing Telephone | 2088824511 |
| Mailing Fax Number | 2088836580 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2016-10-09 |
| Authorized Official Name | PATRICK MCCONNELL (CFO) |
| Authorized Official Telephone | 2088832220 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRITMAN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 39 | ID | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1386041119 | 05 |
| Other Name | Type Code |
|---|---|
| Gritman Swing Bed Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871708289 | Gritman Medical Center Inc | Day Training, Developmentally Disabled Services | 324 S Cleveland St, Moscow, ID 83843-3768 | 2007-05-11 |
| 1356438816 | Gritman Medical Center Inc | Clinic/Center | 156 6th St, Potlatch, ID 83855 | 2006-10-06 |
| 1013556596 | Gritman Medical Center Inc | Pain Medicine | 804 S Washington St Ste A, Moscow, ID 83843-3182 | 2019-12-31 |
| 1932769700 | Gritman Medical Center Inc | Internal Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2019-06-14 |
| 1235626474 | Gritman Medical Center Inc | Psychiatry & Neurology | 803 S Main St Ste 210, Moscow, ID 83843-2695 | 2018-04-13 |
| 1235680703 | Gritman Medical Center Inc | Internal Medicine | 804 S Washington St Ste A, Moscow, ID 83843-3182 | 2016-10-20 |
| 1477004828 | Gritman Medical Center Inc | General Practice | 412 S Main St, Troy, ID 83871 | 2016-10-20 |
| 1942567847 | Gritman Medical Center Inc | Physician Assistant | 412 S Main St, Troy, ID 83871-0415 | 2012-04-16 |
| 1750475380 | Gritman Medical Center Inc | Clinic/Center | 606 E Main St, Kendrick, ID 83537 | 2006-10-03 |
| 1619988144 | Gritman Medical Center Inc | General Acute Care Hospital | 700 S Main St, Moscow, ID 83843-3056 | 2006-08-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GRITMAN MEDICAL CENTER INC. | 700 S Main St, Moscow, ID 83843 |
| Street Address |
700 S MAIN ST |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687031 | Panhandle Anesthesia Associates of Moscow | Nurse Anesthetist, Certified Registered | 700 S Main St, Moscow, ID 83843-3046 | 2020-10-19 |
| 1962015149 | James Lee Hug | Nurse Anesthetist, Certified Registered | 700 S Main St, Moscow, ID 83843-3046 | 2020-08-26 |
| 1720616188 | Kaylee Drenker | Pharmacist | 700 S Main St, Moscow, ID 83843-3046 | 2020-03-31 |
| 1083245377 | Jill Lynn Lawrence | Massage Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2020-01-27 |
| 1932769700 | Gritman Medical Center Inc | Internal Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2019-06-14 |
| 1669975207 | Colleen Cochran | Pharmacist | 700 S Main St, Moscow, ID 83843-3056 | 2018-03-09 |
| 1427566751 | Duane Dale | Speech-Language Pathologist | 700 S Main St, Moscow, ID 83843-3056 | 2018-01-22 |
| 1962913061 | Lori Marie Mages | Physical Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2017-10-16 |
| 1245740638 | Kristen Topliff | Physical Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2017-10-11 |
| 1124547401 | Dorothy Plaza | Registered Nurse | 700 S Main St, Moscow, ID 83843-3056 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366465742 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 420 Rowe St, Moscow, ID 83843-9319 | 2006-07-26 |
| 1194236406 | Moscow of Cascadia, LLC | Skilled Nursing Facility | 420 Rowe St, Moscow, ID 83843-9319 | 2017-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1497233514 | Boise Nursing and Rehab Center LLC | Skilled Nursing Facility | 1140 N Allumbaugh St, Boise, ID 83704-8716 | 2018-07-31 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1871042663 | Ahc of Lewiston, LLC | Skilled Nursing Facility | 2852 Juniper Dr, Lewiston, ID 83501-4719 | 2016-09-22 |
| 1063966638 | Boise West of Cascadia, LLC | Skilled Nursing Facility | 8211 Ustick Road, Boise, ID 83704-5756 | 2016-08-11 |
| 1861946436 | Bellevue of Cascadia, LLC | Skilled Nursing Facility | 620 N. 6th Street, Bellevue, ID 83313 | 2016-08-11 |
| 1437603008 | Twin Falls of Cascadia, LLC | Skilled Nursing Facility | 674 Eastland Drive, Twin Falls, ID 83301-6846 | 2016-08-11 |
| 1235683806 | Payette of Cascadia, LLC | Skilled Nursing Facility | 1019 3rd Avenue South, Payette, ID 83661-2832 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.