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

Active since January 09, 2019
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744(218) 999-1885(218) 999-1887 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grand Itasca Clinic And Hospital NPPES

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

GRAND ITASCA CLINIC AND HOSPITAL (NPI 1902379159), doing business as Grand Itasca Pharmacy, is a healthcare organization registered as a pharmacy in Grand Rapids, Minnesota and active in the NPI registry since January 2019. The organization lists Jean Macdonell, Vp, Clinic Services, as its authorized official.

NPPES Registry Identity

NPI1902379159
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGRAND ITASCA CLINIC AND HOSPITAL
Location Address1601 GOLF COURSE RDGrand Rapids, MN 55744-8648
Mailing Address1601 Golf Course RdGrand Rapids, MN 55744-8648 · (218) 999-1885 · Fax (218) 999-1887
Phone(218) 999-1885
Fax(218) 999-1887
Organization SubpartYesParent: Grand Itasca Clinic & Hospital
Authorized OfficialJean MacdonellVp, Clinic Services · (218) 999-1510
Enumeration DateJanuary 9, 2019
✔ NPI 1902379159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
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.
1601 GOLF COURSE RD, Grand Rapids, MN 55744
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Other Names 1

Doing Business AsGrand Itasca Pharmacy

Other Identifiers 1

Medicaid288995200MN

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Grand Itasca Clinic Hospital (CMS certification number 24T064), from CMS Care Compare.

Grand Itasca Clinic Hospital

Inpatient rehabilitation facility · Grand Rapids, MN
OwnershipNon-profit
CMS Certification Number24T064
Medicare-Certified SinceJuly 1, 2004
Location1601 Golf Course RdGrand Rapids, MN 55744
Phone(218) 999-1573
Rehabilitation unit within a hospital

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA JO DAY NURSE PRACTITIONER
Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3401
GRAND ITASCA CLINIC AND HOSPITAL
Non-Pharmacy Dispensing Site
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-7503
EMILEE OLSON
Student in an Organized Health Care Education/Training Program
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3401
LINDSEY PERATALO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 360-3401
DR. PATRICIA C. CARLIN-JANSSEN MD
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-5000
BOBBI JEAN OLSON CNP
Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3401
KALIE R DRAZENOVICH CNP
Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (612) 244-5325
CAITLIN LEIGH MEYERS PA-C
Physician Assistant
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3401

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 Grand Itasca Clinic And Hospital's NPI number?

The NPI number for Grand Itasca Clinic And Hospital is 1902379159. It was assigned to this organization in the NPPES registry on January 9, 2019. The provider is doing business as Grand Itasca Pharmacy.

Where is Grand Itasca Clinic And Hospital located?

Grand Itasca Clinic And Hospital is located at 1601 Golf Course Rd, Grand Rapids, MN 55744. The listed phone number is (218) 999-1885.

What is Grand Itasca Clinic And Hospital's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Is Grand Itasca Clinic And Hospital a Medicare-certified inpatient rehabilitation facility?

Yes. Grand Itasca Clinic Hospital is a Medicare-certified inpatient rehabilitation facility (CMS certification number 24T064), certified since July 1, 2004.

When was this NPI record last updated?

The NPPES record for Grand Itasca Clinic And Hospital was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.