# AITKIN ITASCA KOOCHICHING COMMUNITY HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851788525
- **Authorized official:** KELLY CHANDLER (CHS ADMINISTRATOR)
- **Authorized official phone:** (218) 327-6144

## Contact information

- **Practice address:** 1209 SE 2ND AVE, GRAND RAPIDS, MN 55744-3982
- **Practice address phone:** (218) 327-6144
- **Mailing address:** 1209 SE 2ND AVE, GRAND RAPIDS, MN 55744-3982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/21/2015