NPIMap

Gritman Medical Center Inc

A Medicare group practice based in Moscow, ID: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 4981984390), with 29 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4981984390The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
5
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20161130002249 ID Part B Supplier - Clinic/Group Practice 1477004828
O20170127002176 ID Part A Provider - Rural Health Clinic 1356438816
O20170210001663 ID Part A Provider - Rural Health Clinic 1750475380
O20201020001059 ID Part A Provider - Rural Health Clinic 1235680703
O20201109002646 ID Part A Provider - Rural Health Clinic 1477004828

NPIs in this group 11

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 29

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (19).

Sources for this page