COOK AREA HEALTH SERVICES, INC. (NPI# 1750633806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750633806 |
| Entity Type | Organization |
| Organization Name | COOK AREA HEALTH SERVICES, INC. |
| Other Organization Name | SCENIC RIVERS HEALTH SERVICES |
| Practice Address |
415 N 2nd St Suite 2 Tower MN 55790 |
| Mailing Address |
20 5th St Se Cook MN 55723-9702 |
| Practice Telephone | 2187532405 |
| Mailing Telephone | 2187532405 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | MR. MICHAEL A HOLMES (CEO) |
| Authorized Official Telephone | 2183613127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1750633806 | 05 | |
| MN | MEDICARE ID - TYPE UNSPECIFIED | 241865 | 01 |
| Other Name | Type Code |
|---|---|
| Scenic Rivers Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174596027 | Cook Area Health Services, Inc. | Clinic/Center | 126 W 7th Ave, Box 426, Floodwood, MN 55736-0426 | 2006-02-10 |
| 1508307018 | Cook Area Health Services, Inc. | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2017-03-16 |
| Street Address |
415 N 2ND ST SUITE 2 |
| City | TOWER |
| State | MN |
| Zip Code | 55790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699832410 | Bruce Arthur Baker | Dentist | 415 N 2nd St, Suite 2 D, Tower, MN 55790-0417 | 2007-01-02 |
| 1629319561 | Cook Area Health Services, Inc | Non-Pharmacy Dispensing Site | 415 N 2nd St, Suite 2, Tower, MN 55790 | 2013-03-01 |
| 1619213741 | Cook Area Health Services, Inc | Clinic/Center | 415 N 2nd St, Suite 2 D, Tower, MN 55790-0417 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144765843 | Bois Forte Reservation Tribal Government | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1224 White Pine Cir, Tower, MN 55790 | 2017-01-04 |
| 1437691417 | Vermilion Pharmacy | Clinic/Center | 1613 Farm Rd. South, Tower, MN 55790 | 2016-11-08 |
| 1669846176 | Emily A. Barto | Counselor | 1613 Farm Rd South, Tower, MN 55790 | 2015-11-20 |
| 1144664202 | Megan Dawn Flannigan | Pharmacist | 1613 Farm Road South, Tower, MN 55790 | 2013-04-19 |
| 1023339140 | Emily Marie Hadrava | Nurse Practitioner | 415 N 2nd St Suite 2, Cook Area Health Services, Inc, Tower, MN 55790 | 2010-06-14 |
| 1538371117 | Bois Forte Reservation Tribal Council | Clinic/Center | 1195 County Road 77, Tower, MN 55790 | 2007-05-04 |
| 1295951309 | City of Tower | Ambulance | 602 Main Street, Tower, MN 55790 | 2007-04-17 |
| 1740605005 | Vermilion County Charter School | Local Education Agency (LEA) | 1 Enterprise Dr, Tower, MN 55790-4000 | 2014-02-24 |
| 1598237307 | Kelli Marie Fena | Dental Hygienist | 1613 Farm Rd S, Tower, MN 55790-5579 | 2018-12-19 |
| 1750907010 | Bois Forte Reservation Tribal Government | Pharmacy | 1613 Farm Rd S, Tower, MN 55790-5579 | 2020-06-23 |
| Find all providers in zip 55790 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619213741 | Cook Area Health Services, Inc | Clinic/Center | 415 N 2nd St, Suite 2 D, Tower, MN 55790-0417 | 2012-12-18 |
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| 1982162434 | Family Health Care Center | Clinic/Center | 1104 7th Ave S # 92, Moorhead, MN 56563-0001 | 2019-03-04 |
| 1760949168 | Indian Health Board of Minneapolis, Inc | Clinic/Center | 2101 Minnehaha Avenue South, Minneapolis, MN 55404-3107 | 2019-02-22 |
| 1891266862 | Hennepin County | Clinic/Center | 41 N 12th St., Minneapolis, MN 55403-1325 | 2018-12-17 |
| 1700357779 | Hennepin County | Clinic/Center | 2211 Clinton Ave, Minneapolis, MN 55404-3656 | 2018-12-17 |
| 1487125597 | Hennepin County | Clinic/Center | 215 S 8th St, Minneapolis, MN 55402-2803 | 2018-12-16 |
| 1992276000 | Hennepin County | Clinic/Center | 2740 1st Ave S, Minneapolis, MN 55408-1611 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.