GRITMAN MEDICAL CENTER INC (NPI# 1619988144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619988144 |
| Entity Type | Organization |
| Organization Name | GRITMAN MEDICAL CENTER INC |
| 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 | 2006-08-10 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | MRS. KARA L BESST (PRESIDENT/ CEO) |
| Authorized Official Telephone | 2088832220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
39 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002249600 | 05 | |
| WA | WA L&I PROFEE | 96772 | 01 |
| CO | 81536887 | 05 | |
| ID | REGENCE PROFEE | 000010002311 | 01 |
| MT | 4103681 | 05 | |
| WA | 7258908 | 05 | |
| ID | 002249700 | 05 | |
| WA | 3305307 | 05 | |
| ID | BLUE CROSS FACILITY | 00034 | 01 |
| ID | REGENCE FACILITY | 000010002310 | 01 |
| WA | WA L & I FACILITY | 10964 | 01 |
| OR | 170811 | 05 | |
| ID | BLUE CROSS PROFEE | 87734 | 01 |
| AZ | 028771 | 05 | |
| CA | XHSP30916 | 05 |
| 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 |
| 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 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761464 | Brent Leavitt | General Acute Care Hospital | 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 | 2015-09-25 |
| 1053669598 | Teton Valley Health Care, Inc | General Acute Care Hospital | 120 E Howard Avenue, Driggs, ID 83422-5112 | 2012-08-15 |
| 1639406267 | Florence Hospital, LLC | General Acute Care Hospital | 1300 E State St, Suite 102, Eagle, ID 83616-7059 | 2009-11-03 |
| 1912132176 | Initiatives Healthcare, LLC | General Acute Care Hospital | 1205 N 11th St, Boise, ID 83702-4102 | 2009-05-18 |
| 1417122821 | Elmore Medical Center Specialty Physician Group | General Acute Care Hospital | 890 N 6th E, Mountain Home, ID 83647-2206 | 2008-04-25 |
| 1275703241 | North Canyon Medical Center, Inc. | General Acute Care Hospital | 267 North Canyon Drive, Gooding, ID 83330-1858 | 2008-03-06 |
| 1720298102 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th Street, Weiser, ID 83672-2202 | 2007-05-23 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1295769537 | Gooding County Hospital District | General Acute Care Hospital | 1120 Montana St, Gooding, ID 83330-1858 | 2006-07-11 |
| 1881641629 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th St., Weiser, ID 83672-2202 | 2006-05-27 |
| 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.