| NPI | 1093152423 |
|---|---|
| Doing Business As | ESSENTIA HEALTH GRAND RAPIDS CLNIC |
| Entity Type | Organization |
| Authorized Contact | BRENDA MOOS Manager Revenue Integrity 218-246-3047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC0050X Clinic/Center, Critical Access Hospital (Licence: MN 361503) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-10-18 |