County of Itasca

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

241569 Issued in MN

Legal business name

COUNTY OF ITASCA

Practice address

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

Phone

(218) 327-2941

Fax

(218) 327-5547

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Wendy McIntyre

Title

Accounting Technician

Phone

(218) 327-6162

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1619003076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 SE 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443982",
            "telephone_number": "218-327-2941",
            "fax_number": "218-327-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SE 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443982",
            "telephone_number": "218-327-2941",
            "fax_number": "218-327-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ITASCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ACCOUNTING TECHNICIAN",
        "authorized_official_telephone_number": "218-327-6162",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": "241569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "730000011",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNCARE BLUE PLUS",
            "identifier": "54029IT",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768553000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Todd Cortese, OTR
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• Amy Cummings, RN
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• Patrice Marie Curtiss
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• 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 Sep 4, 2013; 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.