| Organization Name: | GROUP HEALTH PLAN INC |
| NPI Number: | 1043370091 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN M COONEY (CFO) |
| Mailing Address: | 11475 Robinson Dr Nw Coon Rapids |
| State: | MN US |
| Postal Code: | 554333746 |
| Phone Number: | 9528837469 |
| Fax Number: | 9538835395 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 12/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 8600490 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |