GRAND ITASCA CLINIC AND HOSPITAL
NPI 1902379159
Pharmacy in Grand Rapids, MN

NPI Status: Active since January 09, 2019

Contact Information

1601 GOLF COURSE RD
GRAND RAPIDS, MN
ZIP 55744
Phone: (218) 999-1885
Fax: (218) 999-1887

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  • Organization
  • Pharmacy

About GRAND ITASCA CLINIC AND HOSPITAL

This page provides the complete NPI Profile along with additional information for Grand Itasca Clinic And Hospital, a provider established in Grand Rapids, Minnesota operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1902379159 assigned on January 2019. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Jean Macdonell (Vp, Clinic Services)

NPI
1902379159
Provider Name
GRAND ITASCA CLINIC AND HOSPITAL
Entity Type
Organization
Location Address
1601 GOLF COURSE RD GRAND RAPIDS, MN 55744
Location Phone
(218) 999-1885
Location Fax
(218) 999-1887
Mailing Address
1601 GOLF COURSE RD GRAND RAPIDS, MN 55744
Mailing Phone
(218) 999-1885
Mailing Fax
(218) 999-1887
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-09-2019
Last Update Date
01-09-2019
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 07-01-2004 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEAN MACDONELL

Authorized Official Title
VP, CLINIC SERVICES
Authorized Official Phone
(218) 999-1510

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
288995200MEDICAID (05)MN 

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • GRAND ITASCA CLINIC AND HOSPITAL has an ownership type of Non-profit
  • The facility received it's medicare certification date on 07-01-2004
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditionsNot Available - Data not available for this reporting period.
Brain disease or condition (non-traumatic)Not Available - Data not available for this reporting period.
Brain injury (traumatic)Not Available - Data not available for this reporting period.
Hip or femur fractureNot Available - Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint conditionNot Available - Data not available for this reporting period.
Nervous system disorder (excluding stroke)Not Available - Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)Not Available - Data not available for this reporting period.
Spinal cord injury (traumatic)Not Available - Data not available for this reporting period.
StrokeNot Available - Data not available for this reporting period.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902379159, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 6 + 7 + 1 + 8 + 1 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1902379159.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Internal Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Internal Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Chiropractor
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Internal Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Anesthesiology
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Pediatrics
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Emergency Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Orthopaedic Surgery
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Emergency Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Dietitian, Registered
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Nurse Anesthetist, Certified Registered
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Registered Nurse (Registered Nurse First Assistant)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Registered Nurse (Registered Nurse First Assistant)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902379159, enumerated as an "organization" on January 09, 2019.

The provider is located at 1601 GOLF COURSE RD GRAND RAPIDS, MN 55744 and the phone number is (218) 999-1885.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.