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1629319561 NPI number — COOK AREA HEALTH SERVICES, INC

NPI Number: 1629319561
Health Care Provider/Practitioner: COOK AREA HEALTH SERVICES, INC

Information about “1629319561” NPI (COOK AREA HEALTH SERVICES, INC) exists in 1629319561 in HTML format HTML  |  1629319561 in plain Text format TXT  |  1629319561 in PDF (Portable Document Format) PDF  |  1629319561 in an XML format XML  formats.

NPI Number : 1629319561 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629319561",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "COOK AREA HEALTH SERVICES, INC",
    "ParentOrgTIN": null,
    "OrgName": "COOK AREA HEALTH SERVICES, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6501 CITY WEST PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDEN PRAIRIE",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55344-3248",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-653-2525",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "415 N 2ND ST",
    "SecondLinePracticeLocationAddress": "SUITE 2",
    "PracticeLocationAddressCityName": "TOWER",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55790",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "218-666-5941",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/01/2013",
    "LastUpdateDate": "04/03/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOLMES",
    "AuthorizedOfficialFirstName": "MICHAEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "218-666-5102",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332900000X",
        "TaxonomyName": "Non-Pharmacy Dispensing Site",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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