COUNTY OF ITASCA NPI 1619003076

NPI Information

NPI: 1619003076
Provider Name: COUNTY OF ITASCA
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
1209 SE 2ND AVE
GRAND RAPIDS, MN
ZIP 55744
Phone: (218) 327-2941
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COUNTY OF ITASCA is a public health or welfare in Grand Rapids, MN. COUNTY OF ITASCA NPI is 1619003076. The provider is registered as an organization entity type.

The provider's business location address is:

1209 SE 2ND AVE
GRAND RAPIDS, MN
ZIP 55744-982
Phone: (218) 327-2941
Fax: (218) 327-5547

The provider's authorized official is Wendy Mcintyre .
The authorized official title is Accounting Technician and has the following contact phone number (218) 327-6162.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 9/4/2013.

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
1	251K00000X	Public Health or Welfare		241569	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	768553000	MEDICAID	MINNESOTA
2	54029IT	OTHER	MINNESOTA	MNCARE BLUE PLUS
3	730000011	OTHER	MINNESOTA	MEDICARE PTAN

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: 5/5/2024

NPI Synchronization or Removal

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