NPIMap

Organization Active NPI

Cook Area Health Services, Inc

  • Non-Pharmacy Dispensing Site
  • Tower, MN
National Provider Identifier
1629319561
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
COOK AREA HEALTH SERVICES, INC
Practice address
415 N 2ND St
Suite 2
Tower, MN 55790
Phone
(218) 666-5941
NPI assigned
Mar 1, 2013
Organization subpart
Yes
Parent organization
COOK AREA HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Michael Holmes
Title
Ceo
Phone
(218) 666-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

415 N 2ND St
Suite 2
Tower, MN 55790

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248
Phone (952) 653-2525

Other names 1

  • Scenic River Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nett Lake Health Center7 organizations share this tax ID, including this one
Part of
Nett Lake Health Center

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1629319561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248",
            "telephone_number": "952-653-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 2ND ST",
            "address_2": "SUITE 2",
            "city": "TOWER",
            "state": "MN",
            "postal_code": "55790",
            "telephone_number": "218-666-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK AREA HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK AREA HEALTH SERVICES, INC",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-666-5102"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scenic River Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tower, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.