| Gritman Medical Center Inc | |
|
412 S Main St Troy ID 83871-0415 | |
| (208) 835-5550 | |
| (208) 883-6580 |
| Full Name | Gritman Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 412 S Main St, Troy, Idaho |
| Authorized Official Name and Position | Patrick Mcconnell (CFO) |
| Authorized Official Contact | 2088832220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gritman Medical Center Inc 700 S Main St Moscow ID 83843-3056 Ph: (208) 882-4511 | Gritman Medical Center Inc 412 S Main St Troy ID 83871-0415 Ph: (208) 835-5550 |
| NPI Number | 1942567847 |
|---|---|
| Provider Enumeration Date | 04/16/2012 |
| Last Update Date | 10/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942567847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Gritman Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 412 S Main St, Troy, ID 83871 Phone: 208-835-5550 Fax: 208-835-5554 |