# CITY OF COOK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cook Area Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093850950
- **Authorized official:** DAWN KEHOE (DEPUTY CLERK/TREASURER)
- **Authorized official phone:** (218) 666-2200

## Contact information

- **Practice address:** 127 S RIVER ST, COOK, MN 55723
- **Practice address phone:** (218) 666-2200
- **Mailing address:** PO BOX 155, COOK, MN 55723-0155
- **Mailing address phone:** (218) 666-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | MN | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 11/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 054D6CO | BLUE CROSS BLUE SHIELD | MN |
| 05 | — | 355467800 | — | MN |
| 01 | — | 590014828 | RAILROAD MEDICARE | MN |