Provider Demographics
NPI:1982756284
Name:THE GRINNELL INSTITUTE FOR BONE HEALTH
Entity type:Organization
Organization Name:THE GRINNELL INSTITUTE FOR BONE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER, BILLING & INSURANCE
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:JO
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-236-2030
Mailing Address - Street 1:PO BOX 653
Mailing Address - Street 2:
Mailing Address - City:GRINNELL
Mailing Address - State:IA
Mailing Address - Zip Code:50112
Mailing Address - Country:US
Mailing Address - Phone:641-236-9846
Mailing Address - Fax:641-236-7846
Practice Address - Street 1:810 COMMERCIAL ST.
Practice Address - Street 2:
Practice Address - City:GRINNELL
Practice Address - State:IA
Practice Address - Zip Code:50112
Practice Address - Country:US
Practice Address - Phone:641-236-7846
Practice Address - Fax:641-236-7846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3594207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA37252OtherBCBS
IA37262OtherBCBS GROUP
IA2446096Medicaid
IA7060984OtherCIGNA
IA2446096OtherMIDLAND'S CHOICE
IA2446096Medicaid
IA37262OtherBCBS GROUP
IA2446096OtherMIDLAND'S CHOICE
IA37252OtherBCBS