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Organization

COOK AREA HEALTH SERVICES, INC

Active
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Organization

COOK AREA HEALTH SERVICES, INC

Active
Other names
Scenic Rivers Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH D HARVEY (CEO)
(218) 666-5941
Entity
Organization

Contact information

Practice address
12052 MAIN ST, NORTHOME, MN 56661-0066
(218) 897-5222
(218) 897-5226
Mailing address
PO BOX 66, 12052 MAIN ST, NORTHOME, MN 56661-0066
(218) 897-5222
(218) 897-5226

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912970849
MN
05
216354300
MN
01
241812
MEDICARE
Enumeration date
02/10/2006
Last updated
08/07/2025
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