ITASCA CHIROPRACTIC CENTER, P.C. (NPI# 1861708992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861708992 |
| Entity Type | Organization |
| Organization Name | ITASCA CHIROPRACTIC CENTER, P.C. |
| Practice Address |
801 Ne 4th St Grand Rapids MN 55744-3106 |
| Practice Telephone | 2183261732 |
| Practice Fax Number | 2183273415 |
| Mailing Telephone | 2183261732 |
| Mailing Fax Number | 2183273415 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |
| Authorized Official Name | DR. DONALD ANDREW ANDERSON (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 2183261732 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 3641 | MN | Managed Care Organizations |
| Street Address |
801 NE 4TH ST |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336223 | Well Pllc | Counselor | 801 Ne 4th St, Grand Rapids, MN 55744-3106 | 2018-11-26 |
| 1316225527 | Linh Scally | Counselor | 801 Ne 4th St, Grand Rapids, MN 55744-3106 | 2011-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1568897684 | Villa Maria Retirement | Preferred Provider Organization | 1305 Walker Ave Nw, Grand Rapids, MI 49504-4098 | 2013-09-09 |
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| 1619334281 | Perfection Care Associates LLC | Preferred Provider Organization | 1810 Columbus Ave, Minneapolis, MN 55404-1961 | 2016-01-27 |
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| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.