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CAH131327-07 Gritman Medical Center (Active)
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Main Details
Name
Gritman Medical Center
Subdivision Name
Troy Clinic - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH131327-07
Medicare Provider Number
131327
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/16/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/19/2023
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
412 S Main Street
Troy, ID 83871
Billing Address
Gritman Medical Center
700 S Main Street
Moscow, ID 83843
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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