Scenic Rivers Health Services | |
20 5th St Se Cook MN 55723-9702 | |
(218) 666-5941 | |
(218) 666-5099 |
Full Name | Scenic Rivers Health Services |
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Speciality | Clinic/Center |
Location | 20 5th St Se, Cook, 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 |
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Scenic Rivers Health Services 20 5th St Se Cook MN 55723-9702 Ph: (218) 666-5941 | Scenic Rivers Health Services 20 5th St Se Cook MN 55723-9702 Ph: (218) 666-5941 |
NPI Number | 1437124401 |
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Provider Enumeration Date | 02/22/2006 |
Last Update Date | 03/05/2014 |
Medicare PECOS PAC ID | 4880681303 |
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Medicare Enrollment ID | O20040707000064 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437124401 | NPI | - | NPPES |
366254300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jennifer A Fischer |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306872197 PECOS PAC ID: 4486617545 Enrollment ID: I20041206000453 |
Provider Name | Edwin A Anderson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083691828 PECOS PAC ID: 9436246964 Enrollment ID: I20071031000450 |
Provider Name | Thomas J Holt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740240688 PECOS PAC ID: 9537294673 Enrollment ID: I20100315001005 |
Provider Name | Eric Paul Scrivner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073802047 PECOS PAC ID: 3375798960 Enrollment ID: I20140717000365 |
Scenic Rivers Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 Fax: 218-666-5099 | |
Bridge To Health, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1817 Highway 53, Cook, MN 55723 Phone: 218-208-7502 | |
Scenic Rivers Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 South River Street, Cook, MN 55723 Phone: 218-666-5958 Fax: 218-361-3149 |