Grand Itasca Pharmacy
LBN: Grand Itasca Clinic And Hospital
Grand Itasca Pharmacy 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 / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Grand Itasca Clinic And Hospital can be contacted via phone (218) 999-1702, or through Macdonell, Jean via phone (218) 326-3401.
Contact Information
Primary practice address
1601 Golf Course Rd
Grand Rapids MN 55744-8648
Phone: (218) 999-1702
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1225441157 |
---|---|
LBN Legal business name | Grand Itasca Clinic And Hospital |
DBA Doing business as | Grand Itasca Pharmacy |
Authorized official | Macdonell, Jean |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jun 9th, 2014 |
Last updated | Mar 24th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225441157 | NPPES |
Minnesota | MEDICAID | 288995200 |
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