OrganizationActive
Gritman Medical Center Inc.
NPI 1790182590 · Clinic/Center · Moscow, ID
Provider details
- NPI number
- 1790182590
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Gritman Medical Center Inc.
- Organization subpart
- Yes
- Authorized official
- Preston Becker, Cfo(208) 883-2221
- License
- 39 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
700 S Main St
Moscow, ID 83843-3056
Other names (DBA / former)
- Doing business as
- Gritman Internal Medicine Clinic
Registry dates
- Enumerated
- 2014-11-24
- Last updated
- 2015-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.