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GRITMAN MEDICAL CENTER INC
NPI 1013556596
Pain Medicine - Interventional Pain Medicine in Moscow, ID

Active since December 31, 2019CLIA Certified · 2 labs
804 S WASHINGTON ST STE A, MOSCOW, ID 83843(208) 883-6700 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gritman Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRITMAN MEDICAL CENTER INC (NPI 1013556596), doing business as Gritman Interventional Pain Management Clinic, is a healthcare organization registered as an interventional pain medicine in Moscow, Idaho and active in the NPI registry since December 2019. The organization holds 2 active CLIA laboratory certificates and lists Danielle Lynas, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013556596
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameGRITMAN MEDICAL CENTER INC
Location Address804 S WASHINGTON ST STE AMoscow, ID 83843-3182
Mailing Address700 S Main StMoscow, ID 83843-3046
Phone(208) 883-6700
Organization SubpartNo
Authorized OfficialDanielle LynasCfo · (208) 883-2220
Enumeration DateDecember 31, 2019
✔ NPI 1013556596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
804 S WASHINGTON ST STE A, Moscow, ID 83843
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Other Names 1

Doing Business AsGritman Interventional Pain Management Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 13D0056686

Gritman Medical Center · Moscow, ID
Active · expires Jan 2, 2027
CLIA Number13D0056686
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorJared Andrews
Laboratory Phone(208) 883-2227
Laboratory LocationGritman Medical Center700 S Main St, Moscow, ID 83843
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 13D0522285

Gritman Medical Center Moscow Medical · Moscow, ID
Active · expires Feb 24, 2028
CLIA Number13D0522285
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorAusten G. Beck
Laboratory Phone(208) 882-7565
Laboratory LocationGritman Medical Center Moscow Medical213 N Main St, Moscow, ID 83843
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRITMAN MEDICAL CENTER INC
Internal Medicine
804 S WASHINGTON ST STE A
MOSCOW, ID 83843
Latah County (208) 883-1152
DUSTIN PAUL GILL
Nurse Anesthetist, Certified Registered
804 S WASHINGTON ST STE A
MOSCOW, ID 83843
Latah County (208) 883-6700
GRITMAN MEDICAL CENTER INC.
Clinic/Center
804 S WASHINGTON ST STE A
MOSCOW, ID 83843
Latah County (208) 883-1152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gritman Medical Center Inc's NPI number?

The NPI number for Gritman Medical Center Inc is 1013556596. It was assigned to this organization in the NPPES registry on December 31, 2019. The provider is doing business as Gritman Interventional Pain Management Clinic.

Where is Gritman Medical Center Inc located?

Gritman Medical Center Inc is located at 804 S Washington St Ste A, Moscow, ID 83843. The listed phone number is (208) 883-6700.

What is Gritman Medical Center Inc's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Gritman Medical Center Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Gritman Medical Center Inc was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.