COUNTY OF ITASCA (NPI# 1619003076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619003076 |
| Entity Type | Organization |
| Organization Name | COUNTY OF ITASCA |
| Practice Address |
1209 Se 2nd Ave Grand Rapids MN 55744-3982 |
| Practice Telephone | 2183272941 |
| Practice Fax Number | 2183275547 |
| Mailing Telephone | 2183272941 |
| Mailing Fax Number | 2183275547 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-09-04 |
| Authorized Official Name | MS. WENDY MCINTYRE (ACCOUNTING TECHNICIAN) |
| Authorized Official Telephone | 2183276162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 241569 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MNCARE BLUE PLUS | 54029IT | 01 |
| MN | 768553000 | 05 | |
| MN | MEDICARE PTAN | 730000011 | 01 |
| Street Address |
1209 SE 2ND AVE |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851788525 | Aitkin Itasca Koochiching Community Health Services | Public Health or Welfare | 1209 Se 2nd Ave, Grand Rapids, MN 55744-3982 | 2015-04-21 |
| 1700276060 | Thomas Gaffney | Counselor | 1209 Se 2nd Ave, Grand Rapids, MN 55744-3982 | 2015-01-26 |
| 1386880599 | Aitkin-itasca-koochiching Chb | Public Health or Welfare | 1209 Se 2nd Ave, Itasca Resource Center, Grand Rapids, MN 55744-3982 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164625109 | Baxter Community Center | Public Health or Welfare | 935 Baxter Se, Grand Rapids, MI 49506-2500 | 2007-06-07 |
| 1851788525 | Aitkin Itasca Koochiching Community Health Services | Public Health or Welfare | 1209 Se 2nd Ave, Grand Rapids, MN 55744-3982 | 2015-04-21 |
| 1386880599 | Aitkin-itasca-koochiching Chb | Public Health or Welfare | 1209 Se 2nd Ave, Itasca Resource Center, Grand Rapids, MN 55744-3982 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090649 | Total Compliance Solutions, Inc. | Public Health or Welfare | 40 Main St S, Hutchinson, MN 55350-2505 | 2020-10-13 |
| 1972008175 | Tiptop Interpreters LLC | Public Health or Welfare | 17211 Encina Path, Farmington, MN 55024-7332 | 2018-03-28 |
| 1528575149 | East Side Neighborhood Services | Public Health or Welfare | 1700 2nd St Ne, Minneapolis, MN 55413-1139 | 2018-01-04 |
| 1962914333 | Hennepin Healthcare System, Inc | Public Health or Welfare | 2000 Summer St Ne Ste 100, Minneapolis, MN 55413-2648 | 2017-10-25 |
| 1861849978 | County of Pine | Public Health or Welfare | 315 Main St S Ste 200, Pine City, MN 55063-1646 | 2016-05-18 |
| 1780043836 | N and N Interpreters Compmay | Public Health or Welfare | 1535 Comstock Ln N, Plymouth, MN 55447-2870 | 2016-02-17 |
| 1548628860 | Elaine Mae Jackson | Public Health or Welfare | 426 1st Ave, Two Harbors, MN 55616-1614 | 2016-02-01 |
| 1831564285 | Global Language Services LLC | Public Health or Welfare | 2731 Pillsbury Ave S Apt 207, Minneapolis, MN 55408-1591 | 2015-12-10 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1225417223 | Pillsbury United Communities | Public Health or Welfare | 3501 Chicago Ave, Minneapolis, MN 55407-2109 | 2015-05-22 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on COUNTY OF ITASCA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.