OrganizationActive
Gritman Medical Center Inc
NPI 1235626474 · Psychiatry Physician · Moscow, ID
Provider details
- NPI number
- 1235626474
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teresa Thorston, Pfs Super Visor(208) 885-4511
- License
- 39 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
803 S Main St Ste 210
Moscow, ID 83843-2695
Phone: (208) 883-6774
Fax: (208) 883-1398
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8007
Moscow, ID 83843-0507
Other names (DBA / former)
- Doing business as
- Gritman Psychiatric Services
- Doing business as
- Gritman Psychiatric Services
Registry dates
- Enumerated
- 2018-04-13
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.