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GRASS ROOTS HEALTH FOODS
NPI 1679843700
Medical Foods Supplier in Eagle River, WI

Active since January 05, 2012
3440 STATE HIGHWAY 70 E, EAGLE RIVER, WI 54521(715) 479-6299 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grass Roots Health Foods NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRASS ROOTS HEALTH FOODS (NPI 1679843700) is a healthcare organization registered as a medical foods supplier in Eagle River, Wisconsin and active in the NPI registry since January 2012. The organization lists David G. Koller, Owner, as its authorized official.

NPPES Registry Identity

NPI1679843700
Entity TypeOrganization
Primary Taxonomy335G00000X
Legal Business NameGRASS ROOTS HEALTH FOODS
Location Address3440 STATE HIGHWAY 70 EEagle River, WI 54521-9491
Mailing Address3440 State Highway 70 EEagle River, WI 54521-9491
Phone(715) 479-6299
Organization SubpartNo
Authorized OfficialDavid G. KollerOwner · (715) 479-6299
Enumeration DateJanuary 5, 2012
Last NPPES UpdateJuly 21, 2022
✔ NPI 1679843700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Foods SupplierSuppliers
Taxonomy Code335G00000X
Definition
A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.
3440 STATE HIGHWAY 70 E, Eagle River, WI 54521
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grass Roots Health Foods's NPI number?

The NPI number for Grass Roots Health Foods is 1679843700. It was assigned to this organization in the NPPES registry on January 5, 2012.

Where is Grass Roots Health Foods located?

Grass Roots Health Foods is located at 3440 State Highway 70 E, Eagle River, WI 54521. The listed phone number is (715) 479-6299.

What is Grass Roots Health Foods's specialty?

The primary specialty registered for this NPI is Medical Foods Supplier with taxonomy code 335G00000X.

When was this NPI record last updated?

The NPPES record for Grass Roots Health Foods was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.