County Of Itasca

LBN: County Of Itasca
County Of Itasca is an health care organization with primary practice located at 1209 Se 2Nd Ave , Grand Rapids MN 55744-3982. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. County Of Itasca can be contacted via phone (218) 327-2941, or through Mcintyre, Wendy via phone (218) 327-6162.

Contact Information

Primary practice address
1209 Se 2Nd Ave Grand Rapids MN 55744-3982
Phone: (218) 327-2941
Fax: (218) 327-5547
Website:
Map and Directions
Authorized official contact:
Name: Mcintyre, Wendy
Phone: (218) 327-6162

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 241569 Minnesota

Profile Details

NPI number 1619003076
LBN Legal business name County Of Itasca
DBA Doing business as
Authorized official Mcintyre, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Sep 4th, 2013 - about 11 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 1619003076 NPPES
Minnesota Other 730000011 MEDICARE PTAN
Minnesota Other 54029IT MEDICARE PTAN
Minnesota MEDICAID 768553000 MEDICARE PTAN

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