Scenic Rivers Health Services | |
415 N 2nd St Suite 2 D Tower MN 55790-0417 | |
(218) 753-2405 | |
(218) 361-3277 |
Full Name | Scenic Rivers Health Services |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 415 N 2nd St, Tower, Minnesota |
Authorized Official Name and Position | Michael A Holmes (CEO) |
Authorized Official Contact | 2186665102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Scenic Rivers Health Services 20 5th St Se Cook MN 55723-9702 Ph: (218) 666-5102 | Scenic Rivers Health Services 415 N 2nd St Suite 2 D Tower MN 55790-0417 Ph: (218) 753-2405 |
NPI Number | 1619213741 |
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Provider Enumeration Date | 12/18/2012 |
Last Update Date | 03/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619213741 | NPI | - | NPPES |
366254300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bois Forte Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1195 County Road 77, Tower, MN 55790 Phone: 218-757-0111 Fax: 218-757-0109 | |
Scenic Rivers Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 N 2nd St, Suite 2, Tower, MN 55790 Phone: 218-753-2405 |