GRITMAN INTERNAL MEDICINE CLINIC
NPI 1235680703
Internal Medicine in Moscow, ID

NPI Status: Active since October 20, 2016

Contact Information

804 S WASHINGTON ST STE A
MOSCOW, ID
ZIP 83843
Phone: (208) 883-1152
Fax: (208) 882-1486

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  • Organization
  • Internal Medicine

About GRITMAN INTERNAL MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Gritman Internal Medicine Clinic, an internist established in Moscow, Idaho operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1235680703 assigned on October 2016. The practitioner's primary taxonomy code is 207R00000X with license number 39 (ID). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Gritman Internal Medicine Clinic. The authorized official of this NPI record is Mr. Patrick Mcconnell (Interm Cfo)

NPI
1235680703
Provider Legal Name
GRITMAN MEDICAL CENTER INC
Other Organization Name
GRITMAN INTERNAL MEDICINE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
804 S WASHINGTON ST STE A MOSCOW, ID 83843
Location Phone
(208) 883-1152
Location Fax
(208) 882-1486
Mailing Address
PO BOX 8007 MOSCOW, ID 83843
Mailing Phone
(208) 883-1152
Mailing Fax
(208) 882-1486
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2016
Last Update Date
10-24-2016
Code Navigator

An internist like Gritman Internal Medicine Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
39
License State
ID
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PATRICK MCCONNELL

Authorized Official Title
INTERM CFO
Authorized Official Phone
(208) 883-2220

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235680703
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265128070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 2 + 8 + 0 + 7 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1235680703 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

GRITMAN MEDICAL CENTER INC.

Clinic/Center

804 S WASHINGTON ST STE A
MOSCOW, ID
ZIP 83843

(208) 883-1152

GRITMAN MEDICAL CENTER INC

Pain Medicine

(Interventional Pain Medicine)

804 S WASHINGTON ST STE A
MOSCOW, ID
ZIP 83843

(208) 883-6700

DUSTIN PAUL GILL

Nurse Anesthetist, Certified Registered

804 S WASHINGTON ST STE A
MOSCOW, ID
ZIP 83843

(208) 883-6700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235680703, enumerated as an "organization" on October 20, 2016.

The provider is located at 804 S WASHINGTON ST STE A MOSCOW, ID 83843 and the phone number is (208) 883-1152.

Internal Medicine with taxonomy code 207R00000X.