NPIMap

Organization Active NPI

Cook Hospital

  • Critical Access Hospital
  • Cook, MN
National Provider Identifier
1992763858
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
331536 Issued in MN
Legal business name
COOK HOSPITAL
Practice address
10 5TH St SE
Cook, MN 55723-9702
Phone
(218) 666-5945
Fax
(218) 666-6228
NPI assigned
May 2, 2006
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Mr. Teresa Lynn Debevec
Title
Administrator/Ceo
Phone
(218) 666-5945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 331536 MN Primary

Addresses

Primary practice location

10 5TH St SE
Cook, MN 55723-9702

Mailing address

10 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101201001003 MN Part A Provider - Critical Access Hospital 6204022304 Practice locations: Cook, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992763858. Details of each certification follow.

Hospital certification: CCN 241312

Legal name
COOK HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2001
Last certification
Aug 22, 2024
Beds
14
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Incorporated
Feb 1, 2001 in MN
Enrollment address
10 5TH St SE
Cook, MN 55723-9702
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Cook HospitalCCN 241312 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Cook Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Enzmann Individual Corporate Director Aug 1, 2009
Kathy Weiand Individual Corporate Director Feb 1, 2012
Teresa Debevec Individual Corporate Officer Sep 23, 2014
W-2 Managing Employee Jan 1, 2009
Jodell Driggs Individual Corporate Director Jan 2, 2025
John Carl Stegmeir Individual Corporate Director May 1, 2015
Heather Ann Brandon Individual Corporate Director Sep 23, 2025
Wendy S Long Individual Corporate Director May 1, 2008
Cook Hospital Organization, Cook, MN Operational/Managerial Control Aug 25, 2010
Lisa Tosel Individual Corporate Director Jan 1, 2026
Donald Potter Individual Corporate Director Jul 1, 2002
Theresa Martinson Individual Corporate Director Feb 1, 2023
Judith Pearson Individual Corporate Director Jan 1, 2007
Karis Renee Antikainen Individual Corporate Director Jan 2, 2025
Margie Hyppa Individual Corporate Director Mar 1, 2008
Denise Parson Individual Corporate Director Jan 1, 2021
Elizabeth R Dahl Individual Corporate Director Jul 1, 2014
Eric Pederson Individual Corporate Director Oct 1, 2012

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cook HospitalCook, MN, CCN 24Z312 Hospital Operational/Managerial Control Oct 8, 2010
Cook Hospital & Care CenterCook, MN, CCN 245392 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Feb 20, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 56

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1992763858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 5TH ST SE",
            "city": "COOK",
            "state": "MN",
            "postal_code": "557239702",
            "telephone_number": "218-666-5945",
            "fax_number": "218-666-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 5TH ST SE",
            "city": "COOK",
            "state": "MN",
            "postal_code": "557239702",
            "telephone_number": "218-666-5945",
            "fax_number": "218-666-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "DEBEVEC",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "218-666-5945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "331536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cook, MN

Sources for this page

Verify at the official NPI Registry.