Grand Itasca Clinic And Hospital | |
1601 Golf Course Rd Grand Rapids MN 55744-8648 | |
(218) 326-3401 | |
(218) 999-1461 |
Full Name | Grand Itasca Clinic And Hospital |
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Speciality | General Acute Care Hospital |
Location | 1601 Golf Course Rd, Grand Rapids, Minnesota |
Authorized Official Name and Position | Todd Christensen (VP OF FINANCE) |
Authorized Official Contact | 2189991702 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grand Itasca Clinic And Hospital 1601 Golf Course Rd Grand Rapids MN 55744-8648 Ph: (218) 326-3401 | Grand Itasca Clinic And Hospital 1601 Golf Course Rd Grand Rapids MN 55744-8648 Ph: (218) 326-3401 |
NPI Number | 1669426631 |
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Provider Enumeration Date | 05/22/2006 |
Last Update Date | 11/30/2023 |
Medicare PECOS PAC ID | 8123939550 |
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Medicare Enrollment ID | O20030902000012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669426631 | NPI | - | NPPES |
038345700 | Medicaid | MN |
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