OrganizationActive
Gritman Medical Center Inc
NPI 1235680703 · Internal Medicine Physician · Moscow, ID
Provider details
- NPI number
- 1235680703
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patrick Mcconnell, Interm Cfo(208) 883-2220
- License
- 39 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
804 S Washington St Ste a
Moscow, ID 83843-3182
Phone: (208) 883-1152
Fax: (208) 882-1486
Street-level locationGet directions
Mailing address
Po Box 8007
Moscow, ID 83843-0507
Other names (DBA / former)
- Doing business as
- Gritman Internal Medicine Clinic
Registry dates
- Enumerated
- 2016-10-20
- Last updated
- 2016-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.