OrganizationActive
Grass Roots Health Foods
NPI 1679843700 · Medical Foods Supplier · Eagle River, WI
Grass Roots Health Foods is a Medical Foods Supplier organization in Eagle River, WI (NPI 1679843700).
Provider details
- NPI number
- 1679843700
- Entity type
- Organization
- Primary specialty
- Medical Foods SupplierSuppliers
- Organization subpart
- No
- Authorized official
- David Koller, Owner(715) 479-6299
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3440 State Highway 70 E
Eagle River, WI 54521-9491
Phone: (715) 479-6299
Approximate (ZIP-level) locationGet directions
Mailing address
3440 State Highway 70 E
Eagle River, WI 54521-9491
Registry dates
- Enumerated
- 2012-01-05
- Last updated
- 2022-07-21
Frequently asked questions
- What is Grass Roots Health Foods's NPI number?
- Grass Roots Health Foods's National Provider Identifier (NPI) is 1679843700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grass Roots Health Foods?
- Grass Roots Health Foods is classified in the NPPES registry as Medical Foods Supplier (Suppliers).
- Where is Grass Roots Health Foods located?
- Grass Roots Health Foods's practice location on file with NPPES is 3440 State Highway 70 E, Eagle River, WI 54521-9491.
- What is Grass Roots Health Foods's phone number?
- The practice phone number listed in the NPPES registry for Grass Roots Health Foods is (715) 479-6299.
- Who is the authorized official for Grass Roots Health Foods?
- The authorized official listed on Grass Roots Health Foods's NPPES record is David Koller, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grass Roots Health Foods's NPI active?
- Yes — Grass Roots Health Foods's NPI (1679843700) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.