Organization
AITKIN-ITASCA-KOOCHICHING CHB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN FUSS BENSON (GRANTS MANAGER)
(218) 327-5525
Entity
Organization
Contact information
Practice address
1209 SE 2ND AVE, ITASCA RESOURCE CENTER, GRAND RAPIDS, MN 55744-3982
(218) 327-5525
(218) 327-5546
Mailing address
1209 SE 2ND AVE, ITASCA RESOURCE CENTER, GRAND RAPIDS, MN 55744-3982
(218) 327-5525
(218) 327-5546
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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