P Praxis·MD
● Active Type 2 · Organization

Gritman Medical Center

Clinic/Center·Moscow, ID· NPI 1730387424 · Enumerated 2007 · 18 years on NPI
Gritman Medical Center is 1 of 93 clinic/center organizations in Idaho.
NPI age
18 years
Enumerated 2007-07-05
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Martin
Ceo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 93 active clinic/center providers in Idaho.

NPI age
18 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
804 S Wa, A
Moscow, ID 83843
📞 2088836476fax 2088836562
Mailing address
700 S Main St
Moscow, ID 838433056
📞 2088824511

Authorized official

Jeffrey Martin
Ceo
📞 2088824511

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    ID license #39 taxonomy 261QM0850X

Other names on file (1)

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

  • PALOUSE PSYCHIATRY
    Type code 3 recorded 2007-07-05

Practice context

Single-site organization. Only one practice location on file.

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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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