Aitkin-Itasca-Koochiching CHB

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

AITKIN-ITASCA-KOOCHICHING CHB

Practice address

1209 SE 2ND Ave
Itasca Resource Center
Grand Rapids, MN 55744-3982

Phone

(218) 327-5525

Fax

(218) 327-5546

NPI assigned

Dec 18, 2008

Last updated

Dec 18, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Karen Fuss Benson

Title

Grants Manager

Phone

(218) 327-5525

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1386880599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 SE 2ND AVE",
            "address_2": "ITASCA RESOURCE CENTER",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443982",
            "telephone_number": "218-327-5525",
            "fax_number": "218-327-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SE 2ND AVE",
            "address_2": "ITASCA RESOURCE CENTER",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443982",
            "telephone_number": "218-327-5525",
            "fax_number": "218-327-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AITKIN-ITASCA-KOOCHICHING CHB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "FUSS",
        "authorized_official_title_or_position": "GRANTS MANAGER",
        "authorized_official_telephone_number": "218-327-5525",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2Care4U LLC
• A Plus Family Care Inc.
• Access Psychiatric Home Health
• Aitkin Itasca Koochiching Community Health Services
• Alans Physical Therapy of Grand Rapids
• Jessica Lynn Albers, LICSW
• Suzanne Lois Aldrich, NP-C
• Alliance Chiropractic & Wellness PA
• Jennifer Alstad, LMFT

• Public Health or Welfare Agency in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Public Health or Welfare Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.