Scenic Rivers Health Services | |
126 W 7th Ave Box 426 Floodwood MN 55736-0426 | |
(218) 476-2221 | |
(218) 476-2965 |
Full Name | Scenic Rivers Health Services |
---|---|
Speciality | Clinic/Center |
Location | 126 W 7th Ave, Floodwood, 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 126 W 7th Ave Box 426 Floodwood MN 55736-0426 Ph: (218) 476-2221 | Scenic Rivers Health Services 126 W 7th Ave Box 426 Floodwood MN 55736-0426 Ph: (218) 476-2221 |
NPI Number | 1174596027 |
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Provider Enumeration Date | 02/10/2006 |
Last Update Date | 03/06/2014 |
Medicare PECOS PAC ID | 4880681303 |
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Medicare Enrollment ID | O20040427001470 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174596027 | NPI | - | NPPES |
288604900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | N/A (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jay D Myers |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1114970993 PECOS PAC ID: 4880581032 Enrollment ID: I20040302000770 |
Provider Name | Jerry R Bartleson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1386686376 PECOS PAC ID: 0042102667 Enrollment ID: I20040625000032 |
Provider Name | Amy L Banks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861437113 PECOS PAC ID: 3173586344 Enrollment ID: I20041109000239 |
Provider Name | Jennifer A Fischer |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306872197 PECOS PAC ID: 4486617545 Enrollment ID: I20041206000453 |
Provider Name | Kara L Underwood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740390079 PECOS PAC ID: 4880643626 Enrollment ID: I20051209000162 |
Provider Name | Julia S Hoffman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316985021 PECOS PAC ID: 7214906635 Enrollment ID: I20060216000087 |
Provider Name | Harold D Johnston |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255305942 PECOS PAC ID: 9931117892 Enrollment ID: I20060404000276 |
Provider Name | Heidi J Korstad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861467219 PECOS PAC ID: 6901814862 Enrollment ID: I20060404000293 |
Provider Name | Jeffrey P Scrivner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689649915 PECOS PAC ID: 6002803541 Enrollment ID: I20060404000424 |
Provider Name | Bruce D Garbisch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447349022 PECOS PAC ID: 3072521954 Enrollment ID: I20060404000502 |
Provider Name | Alice R Suchomel |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356369201 PECOS PAC ID: 0244260008 Enrollment ID: I20060424000006 |
Provider Name | Cynthia A Sandberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699724104 PECOS PAC ID: 6709985955 Enrollment ID: I20070628000433 |
Provider Name | Charles A Tietz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861499584 PECOS PAC ID: 3779677331 Enrollment ID: I20070913000604 |
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 | Wendy S Long |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689873598 PECOS PAC ID: 4385731538 Enrollment ID: I20071105000099 |
Provider Name | Anthony P Bastianelli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609044403 PECOS PAC ID: 0547328817 Enrollment ID: I20081015000678 |
Provider Name | Lori Ann Pykkonen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881759629 PECOS PAC ID: 3779673280 Enrollment ID: I20100210000750 |
Provider Name | Thomas J Holt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740240688 PECOS PAC ID: 9537294673 Enrollment ID: I20100315001005 |
Provider Name | Maryfrances Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902989940 PECOS PAC ID: 6608903182 Enrollment ID: I20100415000452 |
Provider Name | Emily Marie Hadrava |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023339140 PECOS PAC ID: 7517159916 Enrollment ID: I20101004000910 |
Provider Name | Lisa A Harmon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528086170 PECOS PAC ID: 0143419705 Enrollment ID: I20110112000900 |
Provider Name | Valerie Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548354434 PECOS PAC ID: 8123035128 Enrollment ID: I20110502000177 |
Provider Name | Jennifer H Block |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1861469025 PECOS PAC ID: 7810160462 Enrollment ID: I20111027000408 |
Provider Name | Daniel P Dewey |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1740467760 PECOS PAC ID: 2365529617 Enrollment ID: I20120521000563 |
Provider Name | Nicholas Vidor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063704914 PECOS PAC ID: 7719133982 Enrollment ID: I20120804000088 |
Provider Name | Matthew Anders Holmes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801187315 PECOS PAC ID: 5092962522 Enrollment ID: I20120905000669 |
Provider Name | Shanna Rachelle Vidor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215229729 PECOS PAC ID: 9830349380 Enrollment ID: I20121018000799 |
Provider Name | Rachel S Beldo Rosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306284153 PECOS PAC ID: 8325272180 Enrollment ID: I20131009001943 |
Provider Name | Alice S Mann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144450735 PECOS PAC ID: 6507903085 Enrollment ID: I20140210000968 |
Provider Name | Eric Paul Scrivner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073802047 PECOS PAC ID: 3375798960 Enrollment ID: I20140717000365 |
Provider Name | Erin R Thielbar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063828614 PECOS PAC ID: 9436378817 Enrollment ID: I20140917000989 |
Provider Name | Kristine Marie Mosher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265841076 PECOS PAC ID: 7113240144 Enrollment ID: I20141226000269 |
Provider Name | Charlene M Colwell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841629250 PECOS PAC ID: 2365768819 Enrollment ID: I20150228000101 |
Provider Name | Celin R Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477826436 PECOS PAC ID: 7517277445 Enrollment ID: I20151105001447 |
Provider Name | Jeffrey Olds |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699962324 PECOS PAC ID: 0840595559 Enrollment ID: I20160217002419 |
Provider Name | Robert Anthony Wolfe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205905452 PECOS PAC ID: 6901891928 Enrollment ID: I20160511002588 |
Provider Name | Alexandra S Snell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720490535 PECOS PAC ID: 7315169356 Enrollment ID: I20160830001969 |
Provider Name | Steven Taylor Rasmussen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700222064 PECOS PAC ID: 9234433434 Enrollment ID: I20160906000492 |
Provider Name | Eric C Elleby |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942629787 PECOS PAC ID: 0840507547 Enrollment ID: I20170918002628 |
Provider Name | Barret J Myers Wolfson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164841540 PECOS PAC ID: 7911215223 Enrollment ID: I20171101003661 |
Provider Name | Chelsea C Mann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346669348 PECOS PAC ID: 3870800121 Enrollment ID: I20171102001643 |
Provider Name | Nicholas Alexander Cooley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801270798 PECOS PAC ID: 9032403530 Enrollment ID: I20180913000078 |
Provider Name | Stephanie R Lantry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588142913 PECOS PAC ID: 9931453909 Enrollment ID: I20181109000549 |
Provider Name | Allison L Weddle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497000541 PECOS PAC ID: 7517118763 Enrollment ID: I20181224000107 |
Provider Name | Shannon C Pitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093377640 PECOS PAC ID: 0941538607 Enrollment ID: I20190820002245 |
Provider Name | Evan H Toonstra |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013435767 PECOS PAC ID: 7618306663 Enrollment ID: I20200326003101 |
Provider Name | Sabrina A Seyller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821621327 PECOS PAC ID: 0941627426 Enrollment ID: I20201116002327 |
Provider Name | Kristen Marie Dombovy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508481094 PECOS PAC ID: 1355741786 Enrollment ID: I20210607001925 |
Provider Name | Tiffany N Brannan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447835285 PECOS PAC ID: 3274935846 Enrollment ID: I20210708002505 |
Provider Name | Emily Kate Wild |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578211595 PECOS PAC ID: 7810360211 Enrollment ID: I20230306002560 |
Provider Name | Julie Anne Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669250932 PECOS PAC ID: 3274977418 Enrollment ID: I20240215003709 |
Provider Name | Elizabeth Marie Jacobson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982386942 PECOS PAC ID: 5698110724 Enrollment ID: I20240228004313 |
Scenic Rivers Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Hwy 73, Box 46, Floodwood, MN 55736 Phone: 218-476-2969 Fax: 218-476-1599 |