Fairview Grand Itasca Clinic Mtm

LBN: Fairview Pharmacy Services Llc
Fairview Grand Itasca Clinic Mtm 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 / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Fairview Pharmacy Services Llc can be contacted via phone (218) 999-1885, or through Beacher, Robert via phone (612) 672-5139.

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: Beacher, Robert
Phone: (612) 672-5139

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1578121356
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Grand Itasca Clinic Mtm
Authorized official Beacher, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2019
Last updated Aug 31st, 2022 - about 2 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.

Request for update

Popular Providers