County Of Itasca in Grand Rapids - Public Health Or Welfare
County Of Itasca - NPI 1619003076
County Of Itasca is a Public Health Or Welfare in Grand Rapids, Minnesota. County Of Itasca practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for County Of Itasca is 1619003076. The last update date is 2013-09-04.
County Of Itasca's current location address is 1209 Se 2nd Ave, Grand Rapids, Minnesota. You can contact this provider via phone number 2183272941 and fax number 2183275547. The mailing address for County Of Itasca is 1209 Se 2nd Ave, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | County Of Itasca |
|---|---|
| Address | 1209 Se 2nd Ave, Grand Rapids, Minnesota |
| Phone Number | 2183272941 |
| Fax Number | 2183275547 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACCOUNTING |
|---|---|
| Authorized Official Name | Mcintyre Wendy |
| Telephone Number | 2183276162 |
NPI Number Detail
| NPI Number | 1619003076 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2013-09-04 |
Provider Mailing Address Detail
| Address | 1209 Se 2nd Ave |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 557443982 |
| Phone Number | 2183272941 |
| Fax Number | 2183275547 |
Provider's Primary Taxonomy Detail
| Speciality | Public Health Or Welfare |
|---|---|
| Taxonomy | 251K00000X |
| Licence No | 241569 |
|
Definition: Government-funded agency providing population health, disease prevention, emergency preparedness and health education services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 730000011 | MN | MEDICARE PTAN | |
| 54029IT | MN | MNCARE BLUE PLUS | |
| 768553000 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to County Of Itasca?
The County Of Itasca has been issued the NPI (National Provider Identifier) 1619003076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where County Of Itasca is geographically located?
The County Of Itasca is physically situated at the following location: 1209 Se 2Nd Ave, Grand Rapids, MN, 557443982.
What is the County Of Itasca's specialty and taxonomy code?
The County Of Itasca's specialty is Public Health Or Welfare, and the corresponding taxonomy code is 251K00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619003076 to County Of Itasca?
The Centers for Medicare & Medicaid Services originally issued the 1619003076 to County Of Itasca on 2007-02-27.
As of what date was the information pertaining to County Of Itasca, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to County Of Itasca, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-09-04.