# GRINNELL HEALTH ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grinnell Regional Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750623948
- **Authorized official:** JACK FRITTS (VP-CFO)
- **Authorized official phone:** (641) 236-2400

## Contact information

- **Practice address:** 210 4TH AVE, GRINNELL, IA 50112-1898
- **Practice address phone:** (641) 236-2024
- **Practice address fax:** (641) 236-2403
- **Mailing address:** 210 4TH AVE, GRINNELL, IA 50112-1898
- **Mailing address phone:** (641) 236-2024
- **Mailing address fax:** (641) 236-2403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 001376 | IA | Yes |

## Other

- **Enumeration date:** 03/26/2013
- **Last updated:** 03/26/2013
