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

Active since November 24, 2014
804 S WASHINGTON ST STE A, MOSCOW, ID 83843(208) 883-1152(208) 882-1486 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gritman Internal Medicine Clinic NPPES

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

GRITMAN INTERNAL MEDICINE CLINIC (NPI 1790182590) is a healthcare organization registered as a clinic/center in Moscow, Idaho and active in the NPI registry since November 2014. The organization lists Preston J Becker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790182590
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGRITMAN MEDICAL CENTER INC.
Location Address804 S WASHINGTON ST STE AMoscow, ID 83843-3182
Mailing Address700 S Main StMoscow, ID 83843-3056 · (208) 882-4511 · Fax (208) 883-6580
Phone(208) 883-1152
Fax(208) 882-1486
Organization SubpartYes
Authorized OfficialPreston J BeckerCfo · (208) 883-2221
Enumeration DateNovember 24, 2014
Last NPPES UpdateDecember 4, 2015
✔ NPI 1790182590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in ID · 39
Definition
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).
804 S WASHINGTON ST STE A, Moscow, ID 83843
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Other Names 1

Doing Business AsGritman Internal Medicine Clinic

Other Identifiers 1

Medicare PIN1253203ID

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
Pain Medicine (Interventional Pain Medicine)
804 S WASHINGTON ST STE A
MOSCOW, ID 83843
Latah County (208) 883-6700
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

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 1790182590. It was assigned to this organization in the NPPES registry on November 24, 2014. The provider is doing business as Gritman Internal Medicine 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) 883-1152.

What is Gritman Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Gritman Medical Center Inc. was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.