| Organization Name: | NORTHERN ITASCA HOSPITAL DISTRICT |
| NPI Number: | 1548204605 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HAROLD DANIEL ODEGAARD (CEO) |
| Mailing Address: | 258 Pine Tree Drive Bigfork |
| State: | MN US |
| Postal Code: | 56628 |
| Phone Number: | 2187433177 |
| Fax Number: | 2187433559 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 804975-2-ADC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |