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 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
251E00000X
Home Health Agency
Primary
334377
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1658HCO
BCBS OF MN
MN
05
—
3657451000
—
MN
Enumeration date
12/19/2006
Last updated
11/01/2024
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