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KENDRICK CLINIC
NPI 1750475380
Clinic/Center - Rural Health in Kendrick, ID

Active since October 03, 2006CLIA Certified · 5 labs
606 E MAIN ST, KENDRICK, ID 83537(208) 289-3841(208) 289-3961 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2017, Sep 21, 2016 (2 updates tracked since 2016).

About Kendrick Clinic NPPES

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

KENDRICK CLINIC (NPI 1750475380) is a healthcare organization registered as a rural health in Kendrick, Idaho and active in the NPI registry since October 2006. The organization holds 5 active CLIA laboratory certificates and lists Harry Jasper, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750475380
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGRITMAN MEDICAL CENTER INC
Location Address606 E MAIN STKendrick, ID 83537
Mailing Address700 S Main StMoscow, ID 83843 · (208) 882-4511
Phone(208) 289-3841
Fax(208) 289-3961
Organization SubpartNo
Authorized OfficialHarry JasperCfo · (208) 883-2220
Enumeration DateOctober 3, 2006
Last NPPES UpdateFebruary 14, 20172 updates tracked since enumeration
✔ NPI 1750475380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in ID · 39
606 E MAIN ST, Kendrick, ID 83537
Open in Google Maps ↗

Other Names 1

Doing Business AsKendrick Clinic

Other Identifiers 5

Medicaid7118532WA
Other000010138308ID · Regence
Medicaid805890000ID
Medicare PIN133997ID
Other8A612ID · Blue Cross

CLIA Laboratory Certificates CMS CLIA 5

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 Waiver 13D0521173

Gritman Medical Center - Kendrick Clinic · Kendrick, ID
Active · expires Apr 1, 2027
CLIA Number13D0521173
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorAusten Beck
Laboratory Phone(208) 289-3841
Laboratory LocationGritman Medical Center - Kendrick Clinic606 E Main St, Kendrick, ID 83537
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D0522286

Gritman Medical Center Moscow Family Medicine · Moscow, ID
Active · expires May 31, 2028
CLIA Number13D0522286
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorAusten Beck
Laboratory Phone(208) 289-3841
Laboratory LocationGritman Medical Center Moscow Family Medicine623 S Main St, Moscow, ID 83843
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2096999

Gritman Medical Center Internal Medicine Clinic · Moscow, ID
Active · expires Jun 4, 2027
CLIA Number13D2096999
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorAusten Beck
Laboratory Phone(208) 289-3841
Laboratory LocationGritman Medical Center Internal Medicine Clinic719 S Main St, Moscow, ID 83843
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D0917175

Gritman Medical Center Potlatch Clinic · Potlatch, ID
Active · expires Apr 1, 2027
CLIA Number13D0917175
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorAusten Beck
Laboratory Phone(208) 289-3841
Laboratory LocationGritman Medical Center Potlatch Clinic156 6th St, Potlatch, ID 83855
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2041718

Gritman Medical Center Troy Clinic · Troy, ID
Active · expires Apr 1, 2027
CLIA Number13D2041718
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorAusten Beck
Laboratory Phone(208) 289-3841
Laboratory LocationGritman Medical Center Troy Clinic412 S Main St, Troy, ID 83871
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. SARAH GRACE FOX AURICH DNP
Nurse Practitioner (Family)
606 E MAIN ST
KENDRICK, ID 83537
Latah County (208) 289-3841
KELLY MARIE LANDLE P.A.-C
Physician Assistant
606 E MAIN ST
KENDRICK, ID 83537
Latah County (208) 289-3841

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 1750475380. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Kendrick Clinic.

Where is Gritman Medical Center Inc located?

Gritman Medical Center Inc is located at 606 E Main St, Kendrick, ID 83537. The listed phone number is (208) 289-3841.

What is Gritman Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Gritman Medical Center Inc hold CLIA laboratory certificates?

Yes. 5 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 February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.