NPIMap

Organization Active NPI

Gritman Medical Center Inc

  • Community/Retail Pharmacy
  • Moscow, ID
National Provider Identifier
1205720232
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GRITMAN MEDICAL CENTER INC
Practice address
719 S Main St Ste 1
Moscow, ID 83843-3041
Phone
(208) 882-3092
Fax
(208) 883-6550
NPI assigned
Jun 4, 2025
Organization subpart
Yes
Parent organization
GRITMAN MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kara Besst
Title
Ceo and President
Phone
(208) 883-2220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

719 S Main St Ste 1
Moscow, ID 83843-3041

Mailing address

PO Box 8007
Moscow, ID 83843-0507
Phone (208) 882-8812

Other names 1

  • GRITMAN OUTPATIENT PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ecg Physicians6 organizations share this tax ID, including this one
Part of
Ecg Physicians

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

719 S Main St
Ste 1
Moscow, ID 83843
Phone (208) 882-3092

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1205720232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507",
            "telephone_number": "208-882-8812",
            "fax_number": "208-892-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S MAIN ST STE 1",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433041",
            "telephone_number": "208-882-3092",
            "fax_number": "208-883-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRITMAN MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRITMAN MEDICAL CENTER INC",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "BESST",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "208-883-2220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRITMAN OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.