| Gritman Medical Center Inc | |
|
804 S Washington St Ste A Moscow ID 83843-3182 | |
| (208) 883-1152 | |
| (208) 882-1486 |
| Full Name | Gritman Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 804 S Washington St Ste A, Moscow, Idaho |
| Authorized Official Name and Position | Patrick Mcconnell (INTERM CFO) |
| Authorized Official Contact | 2088832220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gritman Medical Center Inc Po Box 8007 Moscow ID 83843-0507 Ph: (208) 883-1152 | Gritman Medical Center Inc 804 S Washington St Ste A Moscow ID 83843-3182 Ph: (208) 883-1152 |
| NPI Number | 1235680703 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 10/24/2016 |
| Medicare PECOS PAC ID | 4981984390 |
|---|---|
| Medicare Enrollment ID | O20201020001059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235680703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39 (Idaho) | Primary |
Total Health Physician Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 619 S Washington St, Suite 203, Moscow, ID 83843 Phone: 208-892-1346 Fax: 208-892-8306 | |
Community Health Association Of Spokane Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 S. Main Street, Ste 120, Moscow, ID 83843 Phone: 509-444-8888 Fax: 509-444-7806 | |
Community Healthcare Of The Palouse Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 S Washington St, Ste 203, Moscow, ID 83843 Phone: 208-892-1346 Fax: 208-892-8306 | |
Scott Community Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 317 W 6th St Ste 208, Moscow, ID 83843 Phone: 208-882-3504 Fax: 877-935-2107 | |
Gritman Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 W A St Ste G, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |
Gritman Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 623 S Main St Ste 1, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 |