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Grass Roots Health Foods

Medical Foods Supplier in Eagle River, WI · enumerated 2012 · authorized official David Koller, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679843700

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Registry record

Entity type Organization (Type 2)
Legal business name Grass Roots Health Foods
Practice address 3440 State Highway 70 E, Eagle River, WI, 54521
Enumeration date Jan 5, 2012
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

335G00000X Medical Foods Supplier Suppliers Primary

Authorized official

Name David Koller
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Grass Roots Health Foods?
Grass Roots Health Foods is registered in NPPES as a Medical Foods Supplier (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.