Organization
GRITMAN MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARA L BESST (PRESIDENT/ CEO)
(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
163WD0400X
Diabetes Educator Registered Nurse
—
—
282NC0060X
Critical Access Hospital
Primary
39
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002310
REGENCE FACILITY
ID
01
—
000010002311
REGENCE PROFEE
ID
01
—
00034
BLUE CROSS FACILITY
ID
05
—
002249600
—
ID
05
—
002249700
—
ID
05
—
028771
—
AZ
01
—
10964
WA L & I FACILITY
WA
05
—
170811
—
OR
05
—
3305307
—
WA
05
—
4103681
—
MT
05
—
7258908
—
WA
05
—
81536887
—
CO
01
—
87734
BLUE CROSS PROFEE
ID
01
—
96772
WA L&I PROFEE
WA
05
—
XHSP30916
—
CA
Enumeration date
08/10/2006
Last updated
01/07/2022
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