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NPI 1619003076

OrganizationActive

County of Itasca

NPI 1619003076 · Public Health or Welfare Agency · Grand Rapids, MN

Provider details

NPI number: 1619003076
Entity type: Organization
Primary specialty: Public Health or Welfare AgencyAgencies
Authorized official: Wendy Mcintyre, Accounting Technician
License: 241569 (MN)

Practice location

1209 Se 2nd Ave

Grand Rapids, MN 55744-3982

Phone: (218) 327-2941

Fax: (218) 327-5547

More MN providers

Mailing address

1209 Se 2nd Ave

Grand Rapids, MN 55744-3982

Registry dates

Enumerated: 2007-02-27
Last updated: 2013-09-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

County of Itasca — NPI 1619003076, Grand Rapids, MN | NPI Central