Gritman Medical Center Inc
Doing business as Potlatch Clinic
Rural health clinic in Potlatch, ID, Medicare certification number 133995.
Medicare certification
Provider of Services- CCN
- 133995
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 2B
- Participating since
- Sep 29, 1999
- Last certification
- Apr 29, 2004
- Address
- 156 6TH St
Potlatch, ID 83855
(208) 875-2380
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Potlatch Clinic
- Rural Health Clinic/Center
- Potlatch, ID
- NPI 1356438816
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.