| Cook Area Health Services, Inc | |
|
12052 Main St Northome MN 56661-0066 | |
| (218) 897-5222 | |
| (218) 897-5226 |
| Full Name | Cook Area Health Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12052 Main St, Northome, Minnesota |
| Authorized Official Name and Position | Keith D Harvey (CEO) |
| Authorized Official Contact | 2186665941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook Area Health Services, Inc Po Box 66 12052 Main St Northome MN 56661-0066 Ph: (218) 897-5222 | Cook Area Health Services, Inc 12052 Main St Northome MN 56661-0066 Ph: (218) 897-5222 |
| NPI Number | 1912970849 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 08/07/2025 |
| Medicare PECOS PAC ID | 4880681303 |
|---|---|
| Medicare Enrollment ID | O20040707000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912970849 | NPI | - | NPPES |
| 241812 | Other | MEDICARE | |
| 1912970849 | Medicaid | MN | |
| 216354300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |