Organization Active NPI

Cook County Council on Aging

  • Private Vehicle
  • Grand Marais, MN
National Provider Identifier
1467776062
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
COOK COUNTY COUNCIL ON AGING
Practice address
10 N Broadway Ave
Grand Marais, MN 55604-5015
Phone
(218) 387-2660
Fax
(218) 387-2317
NPI assigned
Mar 25, 2010
Last updated
Mar 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beverly Green
Title
Director
Phone
(218) 387-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

10 N Broadway Ave
Grand Marais, MN 55604-5015

Mailing address

PO Box 67
Grand Marais, MN 55604-0067
Phone (218) 387-2660

National Provider Directory

National Provider Directory

Locations

10 N Broadway Ave
Grand Marais, MN 55604
Phone (218) 387-2660

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1467776062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556040067",
            "telephone_number": "218-387-2660",
            "fax_number": "218-387-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N BROADWAY AVE",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556045015",
            "telephone_number": "218-387-2660",
            "fax_number": "218-387-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-387-2660"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Marais, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.