Scenic Rivers Health Services | |
12052 Main St Northome MN 56661-0066 | |
(218) 897-5222 | |
(218) 897-5226 |
Full Name | Scenic Rivers Health Services |
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Speciality | Clinic/Center |
Location | 12052 Main St, Northome, 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 Po Box 66 12052 Main St Northome MN 56661-0066 Ph: (218) 897-5222 | Scenic Rivers Health Services 12052 Main St Northome MN 56661-0066 Ph: (218) 897-5222 |
NPI Number | 1912970849 |
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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 | O20040707000142 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912970849 | NPI | - | NPPES |
216354300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | N/A (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |