| Scenic Rivers Health Services | |
|
135 Pine Tree Dr Bigfork MN 56628-0135 | |
| (218) 743-3232 | |
| (218) 743-4223 |
| Full Name | Scenic Rivers Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 135 Pine Tree Dr, Bigfork, Minnesota |
| Authorized Official Name and Position | Michael A Holmes (CEO) |
| Authorized Official Contact | 2186665941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scenic Rivers Health Services 135 Pine Tree Dr Po Box 135 Bigfork MN 56628-0135 Ph: (218) 743-3232 | Scenic Rivers Health Services 135 Pine Tree Dr Bigfork MN 56628-0135 Ph: (218) 743-3232 |
| NPI Number | 1992778849 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 03/05/2014 |
| Medicare PECOS PAC ID | 4880681303 |
|---|---|
| Medicare Enrollment ID | O20040707000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992778849 | NPI | - | NPPES |
| 716254500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | N/A (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jennifer A Fischer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306872197 PECOS PAC ID: 4486617545 Enrollment ID: I20041206000453 |
| Provider Name | Thomas J Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740240688 PECOS PAC ID: 9537294673 Enrollment ID: I20100315001005 |