Pear Lake Women'S Facility

LBN: Hope House Of Itasca County, Inc.
Pear Lake Women'S Facility is an health care organization with primary practice located at 2086 Ridgeway Dr , Grand Rapids MN 55744-4421. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Hope House Of Itasca County, Inc. can be contacted via phone (218) 327-9944, or through Marchel, Susan Lynn via phone (218) 327-9944.

Contact Information

Primary practice address
2086 Ridgeway Dr Grand Rapids MN 55744-4421
Phone: (218) 327-9944
Fax: (218) 327-9375
Website:
Map and Directions
Authorized official contact:
Name: Marchel, Susan Lynn
Phone: (218) 327-9944

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1002621-2 Minnesota

Profile Details

NPI number 1851496368
LBN Legal business name Hope House Of Itasca County, Inc.
DBA Doing business as Pear Lake Women'S Facility
Authorized official Marchel, Susan Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Mar 30th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851496368 NPPES
Minnesota MEDICAID 642634400

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