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: July 19, 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
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

Other Names 1

Doing Business AsGrand Itasca Pharmacy

Other Identifiers 1

Medicaid288995200MN

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 its Medicare certification 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.

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
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
Nurse Anesthetist, Certified Registered
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Nurse Anesthetist, Certified Registered
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Pharmacist
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Pharmacist
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Nurse Anesthetist, Certified Registered
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Non-Pharmacy Dispensing Site
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Physician Assistant (Medical)
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
Pediatrics
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Surgery
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Internal Medicine
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.