Organization
GRITMAN MEDICAL CENTER INC
Active
Organization
GRITMAN MEDICAL CENTER INC
Active
Other names
Gritman Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA THORSTON (PFS SUPER VISOR)
(208) 885-4511
Entity
Organization
Contact information
Practice address
803 S MAIN ST STE 210, MOSCOW, ID 83843-2695
(208) 883-6774
(208) 883-1398
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 882-4511
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39
ID
Other
Enumeration date
04/13/2018
Last updated
09/11/2025
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