Organization
COKATO CHARITABLE TRUST
Active
Other names
Cokato Manor
Organization subpart
No
Provider details
NPI number
Authorized official
TRESHA MELQUIST (ADMINISTRATOR)
(320) 286-3103
Entity
Organization
Contact information
Practice address
182 SUNSET AVE NW, COKATO, MN 55321-9620
(320) 286-2158
(320) 286-2031
Mailing address
182 SUNSET AVE NW, COKATO, MN 55321-9620
(320) 286-2158
(320) 286-2031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
329785
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030802014
CMHH PRIME WEST
MN
01
—
040705008
CM PRIME WEST
MN
01
—
167905
CMHH UCARE
MN
05
—
249075700
—
MN
01
—
30437
CMHH HEALTH PARTNERS
MN
05
—
423526600
—
MN
01
—
5900013
CMHH MEDICA
MN
01
—
5Z74CO
CMHH BCBS
MN
01
—
7111807
CM MEDICA
MN
05
—
961043000
—
MN
01
—
9681CO
CM BCBS
MN
Enumeration date
10/05/2005
Last updated
10/13/2022
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