Itasca Psychiatric Services Inc

LBN: Itasca Psychiatric Services Inc
Itasca Psychiatric Services Inc is an health care organization with primary practice located at 25 Ne 3Rd St , Grand Rapids MN 55744-2742. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Itasca Psychiatric Services Inc can be contacted via phone (218) 327-2284, or through Bransford, David via phone (218) 327-2284.

Contact Information

Primary practice address
25 Ne 3Rd St Grand Rapids MN 55744-2742
Phone: (218) 327-2284
Fax: (218) 327-3173
Website:
Map and Directions
Authorized official contact:
Name: Bransford, David Doctor of Medicine (MD)
Phone: (218) 327-2284

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 23479 Minnesota

Profile Details

NPI number 1083646327
LBN Legal business name Itasca Psychiatric Services Inc
DBA Doing business as
Authorized official Bransford, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 22nd, 2020 - about 5 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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