Organization
GRITMAN MEDICAL CENTER INC
Active
Parent organization
GRITMAN MEDICAL CENTER INC
Other names
TROY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRITMAN MEDICAL CENTER INC
Authorized official
MR. PATRICK MCCONNELL (CFO)
(208) 883-2220
Entity
Organization
Contact information
Practice address
412 S MAIN ST, TROY, ID 83871-0415
(208) 835-5550
(208) 883-6580
Mailing address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 882-4511
(208) 883-6571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/16/2012
Last updated
10/09/2016
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