Organization
GRITMAN MEDICAL CENTER INC.
Active
Parent organization
GRITMAN MEDICAL CENTER INC.
Other names
Gritman Internal Medicine Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRITMAN MEDICAL CENTER INC.
Authorized official
PRESTON J BECKER (CFO)
(208) 883-2221
Entity
Organization
Contact information
Practice address
804 S WASHINGTON ST STE A, MOSCOW, ID 83843-3182
(208) 883-1152
(208) 882-1486
Mailing address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 882-4511
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
39
ID
Other
Enumeration date
11/24/2014
Last updated
12/04/2015
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