Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gritman Medical Center Inc

Organization Neurological Surgery Physician · NPI 1487428447

Gritman Medical Center Inc is a Neurological Surgery Physician in Moscow, Idaho. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

803 S Main St Ste 320
Moscow, ID 83843-2695
Phone: (208) 883-1008
Fax: (208) 883-4563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 S Main St, Moscow, ID 83843-3056 — (208) 882-4511

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1487428447
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGritman Medical Center Inc
Authorized official Danielle Lynas — Gritman Cfo · (208) 883-2220
Other names Gritman Neurosurgery
NPI enumeratedNovember 9, 2023
Last updated in NPPESNovember 9, 2023
Certification dateNovember 1, 2023
Mailing addressPo Box 8007, Moscow, ID 83843-0507

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