Healthcare Provider Details

I. General information

NPI: 1508307018
Provider Name (Legal Business Name): COOK AREA HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 MAIN ST
BIGFORK MN
56628-2001
US

IV. Provider business mailing address

20 5TH ST SE
COOK MN
55723-9702
US

V. Phone/Fax

Practice location:
  • Phone: 218-743-3600
  • Fax: 218-743-1602
Mailing address:
  • Phone: 218-666-5941
  • Fax: 218-666-5099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KEITH D HARVEY
Title or Position: CEO
Credential:
Phone: 218-361-3135