Organization
GRITMAN MEDICAL CENTER INC
Active
Other names
KENDRICK CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY JASPER (CFO)
(208) 883-2220
Entity
Organization
Contact information
Practice address
606 E MAIN ST, KENDRICK, ID 83537
(208) 289-3841
(208) 289-3961
Mailing address
700 S MAIN ST, MOSCOW, ID 83843
(208) 882-4511
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
39
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138308
REGENCE
ID
05
—
7118532
—
WA
05
—
805890000
—
ID
01
—
8A612
BLUE CROSS
ID
Enumeration date
10/03/2006
Last updated
02/14/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us