NPI age
19 years
Enumerated 2006-10-03
● Active Type 2 · Organization
Gritman Medical Center Inc
Gritman Medical Center Inc is 1 of 61 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jasper
Cfo
Last NPPES update
2017-02-14
Source: monthly bulk 2026-05
How this organization compares
Across 61 active clinic/center providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
606 E Main St
Kendrick, ID 83537
Mailing address
700 S Main St
Moscow, ID 83843
Authorized official
Harry Jasper
Cfo
📞 2088832220
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Sarah Aurich, DNP Nurse Practitioner NPI 1083126171
- Kelly Landle, P.A.-C Physician Assistant NPI 1497723217
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805890000 | |
| 05 (WA) | 7118532 | |
| 01 (ID) | 000010138308 | REGENCE |
| 01 (ID) | 8A612 | BLUE CROSS |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
KENDRICK CLINIC
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.