MEDICARE: CEDAR VALLEY 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	347B00000X	Bus

General Provider Information

NPI Number	:	1962355834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR VALLEY SERVICES, INC.

Provider Business Mailing Address
First Line	:	2111 4TH ST NW
Second Line	:
City	:	AUSTIN
State	:	MN
Zip	:	55912-1810
Country	:	US
Telephone Number	:	507-433-2303
Fax Number	:	507-433-8880

Provider Business Practice Location Address
First Line	:	2803 W OAKLAND AVE
Second Line	:
City	:	AUSTIN
State	:	MN
Zip	:	55912-1131
Country	:	US
Telephone Number	:	855-762-7821
Fax Number	:

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	KRIS BURKEY
Credential	:
Telephone Number	:	507-433-2303

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “CEDAR VALLEY SERVICES, INC. ” Practice Location

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