P Praxis·MD
● Active Type 2 · Organization Subpart

Gritman Medical Center, Inc.

Family Medicine·Moscow, ID· NPI 1538634522 · Enumerated 2018 · 7 years on NPI
Gritman Medical Center, Inc. is 1 of 1691 family medicine organizations in Idaho.
NPI age
7 years
Enumerated 2018-10-05
Primary specialty
Family Medicine
Practice locations
4
3 secondary on file
Status
Active
No deactivations on record
Authorized official
Lynas
Cfo
Last NPPES update
2018-10-15
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
7 years
↓ 10 yr below median
Practice locations
4
3 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-10Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
623 S Main St Ste 1
Moscow, ID 838433042
📞 2088822011fax 2088831853
Mailing address
700 S Main St
Moscow, ID 838433046
📞 2088824511fax 2088836580

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
2500 W A St Ste 101
Moscow, ID 838436000
📞 2088822011fax 2088831853
Location 3
2500 W A St Ste 101
Moscow, ID 838436000
📞 2088820540fax 2088821853
Location 4
831 Ash St
Moscow, ID 83843
📞 2088856693fax 2088831853

Authorized official

Danielle Lynas
Cfo
📞 2088832220

Individual providers at this organization

10 individual providers on file at this primary practice address.

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (ID) 39 STATE OF IDAHO LICENSE

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Moscow Family Medicine Clinic
    Type code 3 recorded 2018-10-15
  • Moscow Family Medicine Clinic
    Type code 3 recorded 2018-10-04

Practice context

Multi-provider organization. 10 individual providers on file at this primary address. Plus 3 secondary practice locations.

Subpart of Gritman Medical Center, Inc..

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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