Scenic Rivers Health Services | |
303 Main Ave Bigfork MN 56628 | |
(218) 361-3190 | |
(218) 743-4223 |
Full Name | Scenic Rivers Health Services |
---|---|
Speciality | Dentist - General Practice |
Location | 303 Main Ave, Bigfork, Minnesota |
Authorized Official Name and Position | Michael A Holmes (CEO) |
Authorized Official Contact | 2183613127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Scenic Rivers Health Services 20 5th St Se Cook MN 55723-9702 Ph: (218) 666-5941 | Scenic Rivers Health Services 303 Main Ave Bigfork MN 56628 Ph: (218) 361-3190 |
NPI Number | 1508307018 |
---|---|
Provider Enumeration Date | 03/16/2017 |
Last Update Date | 03/16/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508307018 | NPI | - | NPPES |
1538132774 | Other | MN | CORPORATE NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D8861 (Minnesota) | Primary |
Derek L Gustafson, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Pine Tree Dr., Bigfork, MN 56628 Phone: 218-743-3707 |