Grand Itasca Clinic And Hospital
General Acute Care Hospital
1601 Golf Course Rd, Grand Rapids
Minnesota, 55744-8648
218-326-3401 218-999-1461
Grand Itasca Clinic And Hospital is a General Acute Care Hospital in Grand Rapids, Minnesota. It is located at 1601 Golf Course Rd, Grand Rapids and it's customer support contact number is 218-326-3401. The authorized person of Grand Itasca Clinic And Hospital is Todd Christensen who is Vp Of Finance of this DME and his contact number is 218-999-1702. Active license number of Grand Itasca Clinic And Hospital is 330789 for General Acute Care Hospital in Minnesota. Grand Itasca Clinic And Hospital accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Grand Itasca Clinic And Hospital is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
DME Supplier Details:
Grand Itasca Clinic And Hospital type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Grand Itasca Clinic And Hospital |
| Type: | General Acute Care Hospital |
| Location: | 1601 Golf Course Rd, Grand Rapids,
Minnesota, 55744-8648 |
| Phone: | 218-326-3401 |
| Fax: | 218-999-1461 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Todd Christensen |
| Position: | Vp Of Finance |
| Contact Number: | 218-999-1702 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1669426631 |
| NPI Enumeration Date: | 22 May, 2006 |
| NPI Last Update On: | 14 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Itasca Clinic And Hospital are as mentioned below.
| Specialization | License Number | State | Status | |
| General Acute Care Hospital | 330789 | Minnesota | Primary | |
| Rehabilitation Unit | | Minnesota | Secondary | |
| Medicare Defined Swing Bed Unit | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Clinic/center | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 038345700 | Medicaid | Minnesota | |
Medicare Enrollment:
Grand Itasca Clinic And Hospital is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8123939550 | O20031105000209 | Grand Itasca Clinic And Hospital | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1700 University Ave W,
Saint Paul, Minnesota |
| Zip: | 55104-3727 |
| Phone Number: | 612-672-6740 |
| Fax Number: | 612-884-3592 |
Patients can reach Grand Itasca Clinic And Hospital at
1601 Golf Course Rd, Grand Rapids, Minnesota or can
call on customer care at 218-326-3401.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.