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CAH131327-02 Gritman Medical Center (Active)
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Main Details
Name
Gritman Medical Center
Subdivision Name
RURAL HEALTH CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH131327-02
Medicare Provider Number
131327
Outpatient Facility Provider Number
133997
Additional Details
Current Program Status
Active
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
12/2/2015
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Gritman Medical Center Inc
Kara Besst, CEO
(208) 883-2220
Primary Contact
Gritman Medical Center
Danielle Lynas, Controller
(208) 883-6456
Addresses
Street Address
606 E Main Street
Kendrick, ID 83537
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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