Grand Itasca Clinic And Hospital

LBN: Grand Itasca Clinic And Hospital
Grand Itasca Clinic And Hospital is an health care organization with primary practice located at 1601 Golf Course Rd , Grand Rapids MN 55744-8648. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Grand Itasca Clinic And Hospital can be contacted via phone (218) 999-1885, or through Macdonell, Jean via phone (218) 999-1510.

Contact Information

Primary practice address
1601 Golf Course Rd Grand Rapids MN 55744-8648
Phone: (218) 999-1885
Fax: (218) 999-1887
Website:
Map and Directions
Authorized official contact:
Name: Macdonell, Jean
Phone: (218) 999-1510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1902379159
LBN Legal business name Grand Itasca Clinic And Hospital
DBA Doing business as
Authorized official Macdonell, Jean
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 9th, 2019
Last updated Jan 9th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902379159 NPPES
Minnesota MEDICAID 288995200

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