Grand Itasca Clinic & Hospital Hc

LBN: Grand Itasca Clinic And Hospital
Grand Itasca Clinic & Hospital Hc is an health care organization with primary practice located at 111 Se 3Rd St , Grand Rapids MN 55744-3663. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Grand Itasca Clinic And Hospital can be contacted via phone (218) 999-1055, or through Troumbly, Katie via phone (218) 999-1047.

Contact Information

Primary practice address
111 Se 3Rd St Grand Rapids MN 55744-3663
Fax: (218) 999-1052
Website:
Authorized official contact:
Name: Troumbly, Katie Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1558435131
LBN Legal business name Grand Itasca Clinic And Hospital
DBA Doing business as Grand Itasca Clinic & Hospital Hc
Authorized official Troumbly, Katie Registered Nurse (RN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 17th, 2006
Last updated Sep 18th, 2017 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558435131 NPPES
Minnesota Other 247286 IMCARE CLASSICS
Minnesota Other 59-00055 IMCARE CLASSICS
Minnesota Other 5B36AIT IMCARE CLASSICS
Minnesota MEDICAID 885525100 IMCARE CLASSICS
Minnesota Other 247286 IMCARE CLASSICS
Minnesota Other 885525100 IMCARE CLASSICS
Minnesota Other 247286 IMCARE CLASSICS

Popular Providers