Pear Lake Women'S Facility
LBN: Hope House Of Itasca County, Inc.
Pear Lake Women'S Facility is an health care organization with primary practice located at 2086 Ridgeway Dr , Grand Rapids MN 55744-4421. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Hope House Of Itasca County, Inc. can be contacted via phone (218) 327-9944, or through Marchel, Susan Lynn via phone (218) 327-9944.
Contact Information
Primary practice address
2086 Ridgeway Dr
Grand Rapids MN 55744-4421
Phone: (218) 327-9944
Fax: (218) 327-9375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 1002621-2 | Minnesota |
Profile Details
| NPI number | 1851496368 |
|---|---|
| LBN Legal business name | Hope House Of Itasca County, Inc. |
| DBA Doing business as | Pear Lake Women'S Facility |
| Authorized official | Marchel, Susan Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Mar 30th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851496368 | NPPES |
| Minnesota | MEDICAID | 642634400 |
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