Organization
GRITMAN MEDICAL CENTER INC
Active
Parent organization
GRITMAN MEDICAL CENTER
Other names
Gritman Swing Bed Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRITMAN MEDICAL CENTER
Authorized official
PATRICK MCCONNELL (CFO)
(208) 883-2220
Entity
Organization
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 882-4511
(208) 883-6580
Mailing address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 882-4511
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
39
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386041119
—
ID
Enumeration date
11/21/2014
Last updated
10/09/2016
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