NPI age
11 years
Enumerated 2014-11-21
● Active Type 2 · Organization
Subpart
Gritman Medical Center Inc
Gritman Medical Center Inc is 1 of 173 skilled nursing facility organizations in Idaho.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McConnell
Cfo
Last NPPES update
2016-10-09
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
11 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-11Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
700 S Main St
Moscow, ID 838433056
Mailing address
700 S Main St
Moscow, ID 838433056
Authorized official
Patrick McConnell
Cfo
📞 2088832220
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Michelle Baker, LMP, NCTMB Massage Therapist NPI 1366737488
- Gregory Bauer, CRNA Nurse Anesthetist, Certified Registered NPI 1255496493
- Heather Beasley, M.D. Emergency Medicine NPI 1265895510
- Amanda Blankenship, LMP, NCTMB Massage Therapist NPI 1013120435
- Janice Boughton, M.D. Internal Medicine NPI 1497784219
- Rand Bracken, CRNA Nurse Anesthetist, Certified Registered NPI 1386616332
- Valerie Branson, RDN Dietitian, Registered NPI 1588237952
- Lauren Brogis, M.D. Emergency Medicine NPI 1003267493
- Ellenmarie Brown, M.D Internal Medicine NPI 1568629699
- John Brown, MD Family Medicine NPI 1912008095
- Dean Cisco, DPT Physical Therapist NPI 1972296994
- James Clark, D.O. Emergency Medicine NPI 1578523577
- Jody Clough, CCC-SLP Speech-Language Pathologist NPI 1467641803
- Marissa Collier, RD Dietitian, Registered NPI 1700634532
- Duane Dale Speech-Language Pathologist NPI 1427566751
- Jacqueline Davis, RDN Dietitian, Registered NPI 1477386738
- Kaylee Drenker, PHARMD Pharmacist NPI 1720616188
- Tiffany Duman, RDN, LD Dietitian, Registered NPI 1407431406
- Marie Eriksson, P.T. Physical Therapist NPI 1720137532
- Adrianne Fejes, DNP, CRNA Nurse Anesthetist, Certified Registered NPI 1093605669
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1386041119 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Gritman Swing Bed Program
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Gritman Medical Center.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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