GRITMAN INTERNAL MEDICINE CLINIC
NPI 1790182590
Clinic/Center in Moscow, ID

NPI Status: Active since November 24, 2014

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
  • Clinic/Center

About GRITMAN INTERNAL MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Gritman Internal Medicine Clinic, a provider established in Moscow, Idaho operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1790182590 assigned on November 2014. The practitioner's primary taxonomy code is 261Q00000X with license number 39 (ID). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Gritman Internal Medicine Clinic. The authorized official of this NPI record is Preston J Becker (Cfo)

NPI
1790182590
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
700 S MAIN ST MOSCOW, ID 83843
Mailing Phone
(208) 882-4511
Mailing Fax
(208) 882-1486
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-24-2014
Last Update Date
12-04-2015
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
39
License State
ID
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

PRESTON J BECKER

Authorized Official Title
CFO
Authorized Official Phone
(208) 883-2221

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1253203MEDICARE PIN (08)ID 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790182590, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 2 + 8 + 4 + 5 + 1 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1790182590.

Other Providers at the Same Location


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

Internal Medicine
804 S WASHINGTON ST STE A
MOSCOW, ID 83843
Pain Medicine (Interventional Pain Medicine)
804 S WASHINGTON ST STE A
MOSCOW, ID 83843
Nurse Anesthetist, Certified Registered
804 S WASHINGTON ST STE A
MOSCOW, ID 83843

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790182590, enumerated as an "organization" on November 24, 2014.

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

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.