MEDICARE: COOK AREA HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	261QD0000X	Dental Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619213741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COOK AREA HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	20 5TH ST SE
Second Line	:
City	:	COOK
State	:	MN
Zip	:	55723-9702
Country	:	US
Telephone Number	:	218-666-5102
Fax Number	:	218-666-5099

Provider Business Practice Location Address
First Line	:	415 N 2ND ST
Second Line	:
City	:	TOWER
State	:	MN
Zip	:	55790-0417
Country	:	US
Telephone Number	:	218-753-2405
Fax Number	:	218-361-3277

Authorized Official
Title or Position	:	CEO
Name	:	KEITH D HARVEY
Credential	:
Telephone Number	:	218-361-3135

Provider Enumeration Date	:	12/18/2012
Last Update Date	:	08/07/2025

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