GRITMAN MEDICAL CENTER INC (NPI# 1477004828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477004828 |
| Entity Type | Organization |
| Organization Name | GRITMAN MEDICAL CENTER INC |
| Other Organization Name | TROY CLINIC |
| Practice Address |
412 S Main St Troy ID 83871 |
| Mailing Address |
Po Box 8007 Moscow ID 83843-0507 |
| Practice Telephone | 2088355550 |
| Practice Fax Number | 2088355554 |
| Mailing Telephone | 2088832224 |
| Mailing Fax Number | 2088836580 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MR. PATRICK MCCONNELL (INTERM CFO) |
| Authorized Official Telephone | 2088832220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 39 | ID | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Troy Clinic | 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 |
| 1386041119 | Gritman Medical Center Inc | Skilled Nursing Facility | 700 S Main St, Moscow, ID 83843-3056 | 2014-11-21 |
| 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 |
412 S MAIN ST |
| City | TROY |
| State | ID |
| Zip Code | 83871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942567847 | Gritman Medical Center Inc | Physician Assistant | 412 S Main St, Troy, ID 83871-0415 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396151395 | Jennifer Ann-marie Grinage | Physician Assistant | 412 S. Main St, Troy, ID 83871 | 2014-07-10 |
| 1023393709 | City of Troy | Ambulance | 521 Eagle Alley, Troy, ID 83871 | 2011-10-13 |
| 1588838684 | Troy School District 287 | Local Education Agency (LEA) | 103 Trojan Dr, Troy, ID 83871 | 2008-04-18 |
| 1275900425 | Troy Volunteer Fire and Ambulance | Ambulance | 109 W 6th St, Troy, ID 83871 | 2015-08-24 |
| 1245519495 | Susan Katherine Struble | Midwife, Lay | 1200 Cornwall Rd, Troy, ID 83871-9610 | 2011-08-05 |
| 1881202414 | Ann Chambers | Home Health | 1320 Dry Creek Rd, Troy, ID 83871-9664 | 2020-07-20 |
| 1467757583 | Dorothy Christine Brandt | Social Worker | 121 Big Meadow Rd, Troy, ID 83871-9671 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740026 | Calvin Arnett | Private Vehicle | 2702 Fairmont Ct Apt A, Troy, OH 45373-7902 | 2020-11-08 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1548861693 | Asset Health, Inc. | Contractor | 2250 Butterfield Dr Ste 100, Troy, MI 48084-3411 | 2020-11-05 |
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1649871161 | Martor Case Management LLC | Durable Medical Equipment & Medical Supplies | 400 Jordan Rd, Troy, NY 12180-8378 | 2020-11-02 |
| 1619577442 | Fhpg, LLC | Nurse Practitioner | 770 Glen Rd, Troy, NC 27371 | 2020-10-30 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1629676275 | Chester Counseling LLC | Social Worker | 2833 Crooks Rd Ste 104, Troy, MI 48084-4732 | 2020-10-15 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
| Find all providers in TROY | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265983530 | St. Peter's Health Partners Medical Associates, PC | General Practice | 2 New Hampshire Avenue, Capital Region Diabetes & Endocrine Care, Troy, NY 12180-1764 | 2016-10-20 |
| 1316319395 | Troy Physical Medicine and Rehab, LLC | General Practice | 1001 S Dorset Rd Ste C, Troy, OH 45373-4750 | 2015-10-29 |
| 1417253030 | Bienvenido Basilio Marquez | General Practice | 5155 Fedora Dr, Troy, MI 48085-4064 | 2011-01-28 |
| 1346545688 | Ramon Nebres Roco | General Practice | 2799 Orchard Trail Dr, Troy, MI 48098-4122 | 2011-01-18 |
| 1588718290 | Joseph Arends | General Practice | 675 E Big Beaver Rd, Suite 201, Troy, MI 48083-1418 | 2007-01-22 |
| 1891895462 | Sonjai Poonpanij | General Practice | 1607 E Big Beaver Rd Ste 200, Troy, MI 48083-2068 | 2006-09-24 |
| 1942280797 | Philip F Gogel | General Practice | 505 Buckeye Dr, Troy, IL 62294-2315 | 2006-01-18 |
| 1649276122 | Mark Allan Schimelman | General Practice | 76 N Greenbush Rd, Troy, NY 12180-8369 | 2005-06-21 |
| 1902406861 | Vpa PC | General Practice | 500 Kirts Blvd Ste 100, Troy, MI 48084-4135 | 2020-10-29 |
| 1316318322 | Troy Chiropractic and Physical Medicine Inc | General Practice | 51 S Stanfield Rd, Troy, OH 45373-2992 | 2015-10-16 |
| Find all providers in TROY | ||||
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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.