Grinnell Health Alliance

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001376 Issued in IA

Legal business name

GRINNELL HEALTH ALLIANCE

Practice address

210 4TH Ave
Grinnell, IA 50112-1898

Phone

(641) 236-2024

Fax

(641) 236-2403

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Jack Fritts

Title

VP-Cfo

Phone

(641) 236-2400

Specialties & licenses 1

Addresses

Other names 1

• Grinnell Regional Mental Health Doing business as

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1750623948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2024",
            "fax_number": "641-236-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2024",
            "fax_number": "641-236-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINNELL HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "VP-CFO",
        "authorized_official_telephone_number": "641-236-2400"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grinnell Regional Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gene Stebbins Gessner, MD
• Ashley Glenn, PHARMD
• Ashley Grace Grimm
• Grinnell Eye Care PC
• Grinnell Family Care PC
• Grinnell Health Care Center, LLC
• Grinnell Health Care Investors LLC
• Grinnell Recovery LLC
• Grinnell Regional Medical Center
• Grinnell Regional Medical Center

• All providers in Grinnell, IA
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.