Grand Itasca Clinic And Hospital
LBN: Grand Itasca Clinic And Hospital
Grand Itasca Clinic And Hospital is an health care organization with primary practice located at 1601 Golf Course Rd , Grand Rapids MN 55744-8648. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Hospital Units / Rehabilitation Unit, Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / General Acute Care Hospital, Suppliers / Durable Medical Equipment & Medical Supplies. Hospitals / General Acute Care Hospital is the primary health care specialty.
Grand Itasca Clinic And Hospital can be contacted via phone (218) 326-3401, or through Christensen, Todd via phone (218) 999-1702.
Contact Information
Primary practice address
1601 Golf Course Rd
Grand Rapids MN 55744-8648
Phone: (218) 326-3401
Fax: (218) 999-1461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Hospital Units / Rehabilitation Unit | 273Y00000X | Minnesota | |
| Hospital Units / Medicare Defined Swing Bed Unit | 275N00000X | ||
| Hospitals / General Acute Care Hospital | 282N00000X | 330789 | Minnesota |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1669426631 |
|---|---|
| LBN Legal business name | Grand Itasca Clinic And Hospital |
| DBA Doing business as | |
| Authorized official | Christensen, Todd |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Nov 30th, 2023 - about last year |
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 | 1669426631 | NPPES |
| Minnesota | MEDICAID | 038345700 |
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