P Praxis·MD
● Active Type 2 · Organization Subpart

Gritman Medical Center Inc.

Clinic/Center·Moscow, ID· NPI 1790182590 · Enumerated 2014 · 11 years on NPI
Gritman Medical Center Inc. is 1 of 145 clinic/center organizations in Idaho.
NPI age
11 years
Enumerated 2014-11-24
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Becker
Cfo
Last NPPES update
2015-12-04
Source: monthly bulk 2026-05

How this organization compares

Across 145 active clinic/center providers in Idaho.

NPI age
11 years
↑ 2 yr above 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
804 S Washington St Ste A
Moscow, ID 838433182
📞 2088831152fax 2088821486
Mailing address
700 S Main St
Moscow, ID 838433056
📞 2088824511fax 2088836580

Authorized official

Preston J Becker
Cfo
📞 2088832221

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Dustin Gill Nurse Anesthetist, Certified Registered NPI 1558681502

Specialties

  • Clinic/Center Primary
    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...
    ID license #39 taxonomy 261Q00000X

Other names on file (1)

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

  • Gritman Internal Medicine Clinic
    Type code 3 recorded 2015-12-04

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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