James Rostvold

LBN: James Rostvold
James Rostvold is an health care organization with primary practice located at 1043 E Us Highway 169 , Grand Rapids MN 55744-3165. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. James Rostvold can be contacted via phone (218) 326-2560, or through Morris, Jenny via phone (218) 326-2560.

Contact Information

Primary practice address
1043 E Us Highway 169 Grand Rapids MN 55744-3165
Fax: (218) 326-8256
Website:
Authorized official contact:
Name: Morris, Jenny LDA

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1205584307
LBN Legal business name James Rostvold
DBA Doing business as
Authorized official Morris, Jenny LDA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2022
Last updated Mar 17th, 2022 - 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 1205584307 NPPES
Minnesota MEDICAID 872720100

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