GRITMAN MEDICAL CENTER INC (NPI# 1942567847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942567847 |
| Entity Type | Organization |
| Organization Name | GRITMAN MEDICAL CENTER INC |
| Other Organization Name | TROY CLINIC |
| Practice Address |
412 S Main St Troy ID 83871-0415 |
| Mailing Address |
700 S Main St Moscow ID 83843-3056 |
| Practice Telephone | 2088355550 |
| Practice Fax Number | 2088836580 |
| Mailing Telephone | 2088824511 |
| Mailing Fax Number | 2088836571 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2016-10-09 |
| Authorized Official Name | MR. PATRICK MCCONNELL (CFO) |
| Authorized Official Telephone | 2088832220 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRITMAN MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TROY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871708289 | Gritman Medical Center Inc | Day Training, Developmentally Disabled Services | 324 S Cleveland St, Moscow, ID 83843-3768 | 2007-05-11 |
| 1356438816 | Gritman Medical Center Inc | Clinic/Center | 156 6th St, Potlatch, ID 83855 | 2006-10-06 |
| 1013556596 | Gritman Medical Center Inc | Pain Medicine | 804 S Washington St Ste A, Moscow, ID 83843-3182 | 2019-12-31 |
| 1932769700 | Gritman Medical Center Inc | Internal Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2019-06-14 |
| 1235626474 | Gritman Medical Center Inc | Psychiatry & Neurology | 803 S Main St Ste 210, Moscow, ID 83843-2695 | 2018-04-13 |
| 1235680703 | Gritman Medical Center Inc | Internal Medicine | 804 S Washington St Ste A, Moscow, ID 83843-3182 | 2016-10-20 |
| 1477004828 | Gritman Medical Center Inc | General Practice | 412 S Main St, Troy, ID 83871 | 2016-10-20 |
| 1386041119 | Gritman Medical Center Inc | Skilled Nursing Facility | 700 S Main St, Moscow, ID 83843-3056 | 2014-11-21 |
| 1750475380 | Gritman Medical Center Inc | Clinic/Center | 606 E Main St, Kendrick, ID 83537 | 2006-10-03 |
| 1619988144 | Gritman Medical Center Inc | General Acute Care Hospital | 700 S Main St, Moscow, ID 83843-3056 | 2006-08-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GRITMAN MEDICAL CENTER INC. | 700 S Main St, Moscow, ID 83843 |
| Street Address |
412 S MAIN ST |
| City | TROY |
| State | ID |
| Zip Code | 83871-0415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004828 | Gritman Medical Center Inc | General Practice | 412 S Main St, Troy, ID 83871 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396151395 | Jennifer Ann-marie Grinage | Physician Assistant | 412 S. Main St, Troy, ID 83871 | 2014-07-10 |
| 1023393709 | City of Troy | Ambulance | 521 Eagle Alley, Troy, ID 83871 | 2011-10-13 |
| 1588838684 | Troy School District 287 | Local Education Agency (LEA) | 103 Trojan Dr, Troy, ID 83871 | 2008-04-18 |
| 1275900425 | Troy Volunteer Fire and Ambulance | Ambulance | 109 W 6th St, Troy, ID 83871 | 2015-08-24 |
| 1245519495 | Susan Katherine Struble | Midwife, Lay | 1200 Cornwall Rd, Troy, ID 83871-9610 | 2011-08-05 |
| 1881202414 | Ann Chambers | Home Health | 1320 Dry Creek Rd, Troy, ID 83871-9664 | 2020-07-20 |
| 1467757583 | Dorothy Christine Brandt | Social Worker | 121 Big Meadow Rd, Troy, ID 83871-9671 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740026 | Calvin Arnett | Private Vehicle | 2702 Fairmont Ct Apt A, Troy, OH 45373-7902 | 2020-11-08 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1548861693 | Asset Health, Inc. | Contractor | 2250 Butterfield Dr Ste 100, Troy, MI 48084-3411 | 2020-11-05 |
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1649871161 | Martor Case Management LLC | Durable Medical Equipment & Medical Supplies | 400 Jordan Rd, Troy, NY 12180-8378 | 2020-11-02 |
| 1619577442 | Fhpg, LLC | Nurse Practitioner | 770 Glen Rd, Troy, NC 27371 | 2020-10-30 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1629676275 | Chester Counseling LLC | Social Worker | 2833 Crooks Rd Ste 104, Troy, MI 48084-4732 | 2020-10-15 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
| Find all providers in TROY | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159327 | Charity Jan Martin | Family Medicine | 507 Ellis Ave, Troy, TX 76579-2515 | 2020-09-16 |
| 1871123844 | Tangerine Health Inc. | Family Medicine | 1432 Devon Ln, Troy, MI 48084-7046 | 2020-01-18 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1952830432 | Fhpg, LLC | Family Medicine | 522 Allen St Ste 203, Troy, NC 27371-2861 | 2017-06-08 |
| 1144583832 | Norah Duncan | Family Medicine | 2041 E Square Lake Rd., Suite 300, Troy, MI 48085 | 2012-06-19 |
| 1740590231 | Bhavesh Patel | Family Medicine | 619 Edwardsville Rd, Troy, IL 62294-1441 | 2010-10-18 |
| 1427289081 | Ghidah Edmon Al-khouri | Family Medicine | 627 E Maple Rd Ste 200, Troy, MI 48083-2812 | 2009-07-30 |
| 1245467224 | Anne S Pamula | Family Medicine | 68 Fenner Ave, Troy, Troy, PA 16947-1501 | 2009-06-17 |
| 1831362425 | Michael Saad Mitry | Family Medicine | 3661 Wakefield Dr, Troy, MI 48083-5358 | 2008-04-04 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.