ITASCA PSYCHIATRIC SERVICES INC NPI 1083646327

NPI Information

  • NPI: 1083646327
  • Provider Name: ITASCA PSYCHIATRIC SERVICES INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 25 NE 3RD ST
    GRAND RAPIDS, MN
    ZIP 55744
  • Phone: (218) 327-2284

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NPI Details

ITASCA PSYCHIATRIC SERVICES INC is a mental health (including community mental health center) clinic center in Grand Rapids, MN. ITASCA PSYCHIATRIC SERVICES INC NPI is 1083646327. The provider is registered as an organization entity type.

The provider's business location address is:

25 NE 3RD ST
GRAND RAPIDS, MN
ZIP 55744-742
Phone: (218) 327-2284
Fax: (218) 327-3173

The provider's authorized official is David Bransford .
The authorized official title is Ceo and has the following contact phone number (218) 327-2284.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)23479MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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