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Organization

COOK COUNTY HOSPITAL DISTRICT

Active
Other names
Cook County North Shore Hospital and Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBER L WRAALSTAD (CEO/ADMINISTRATOR)
(218) 387-3260
Entity
Organization

Contact information

Practice address
515 5TH AVE W, GRAND MARAIS, MN 55604-3017
(218) 387-3040
Mailing address
515 5TH AVE W, GRAND MARAIS, MN 55604-3017
(218) 387-3040

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331910
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1658HCO
BCBC OF MN
MN
05
3657451000
MN
Enumeration date
12/19/2006
Last updated
11/01/2024
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