| 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 |
|---|---|
| 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 |
|---|---|
| Grand Itasca Clinic And Hospital 1700 University Ave W Saint Paul MN 55104-3727 Ph: (612) 672-6740 | Grand Itasca Clinic And Hospital 1601 Golf Course Rd Grand Rapids MN 55744-8648 Ph: (218) 326-3401 |
| NPI Number | 1669426631 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 02/14/2025 |
| Medicare PECOS PAC ID | 8123939550 |
|---|---|
| Medicare Enrollment ID | O20030902000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669426631 | NPI | - | NPPES |
| 038345700 | Medicaid | MN |
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