Grass Roots Health Foods

LBN: Grass Roots Health Foods
Grass Roots Health Foods is an health care organization with primary practice located at 3440 State Highway 70 E , Eagle River WI 54521-9491. The organization recently has only one registered license in Suppliers / Medical Foods Supplier, which is considered as the primary health care specialty. Grass Roots Health Foods can be contacted via phone (715) 479-6299, or through Koller, David G. via phone (715) 479-6299.

Contact Information

Primary practice address
3440 State Highway 70 E Eagle River WI 54521-9491
Phone: (715) 479-6299
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koller, David G.
Phone: (715) 479-6299

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Medical Foods Supplier 335G00000X Wisconsin

Profile Details

NPI number 1679843700
LBN Legal business name Grass Roots Health Foods
DBA Doing business as
Authorized official Koller, David G.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2012
Last updated Jul 21st, 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.

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