COOK AREA HEALTH SERVICES, INC (NPI# 1992778849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992778849 |
| Entity Type | Organization |
| Organization Name | COOK AREA HEALTH SERVICES, INC |
| Other Organization Name | SCENIC RIVERS HEALTH SERVICES |
| Practice Address |
135 Pine Tree Dr Bigfork MN 56628-0135 |
| Mailing Address |
135 Pine Tree Dr Po Box 135 Bigfork MN 56628-0135 |
| Practice Telephone | 2187433232 |
| Practice Fax Number | 2187434223 |
| Mailing Telephone | 2187433232 |
| Mailing Fax Number | 2187434223 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | MICHAEL A HOLMES (CEO) |
| Authorized Official Telephone | 2186665941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | N/A | Ambulatory Health Care Facilities | |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 716254500 | 05 |
| Other Name | Type Code |
|---|---|
| Scenic Rivers Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760457865 | Cook Area Health Services, Inc | Clinic/Center | 12 South River Street, Cook, MN 55723-9702 | 2006-02-22 |
| 1699748533 | Cook Area Health Services, Inc | Clinic/Center | 601 Hwy 73, Box 46, Floodwood, MN 55736-0046 | 2006-02-10 |
| 1912970849 | Cook Area Health Services, Inc | Clinic/Center | 12052 Main St, Northome, MN 56661-0066 | 2006-02-10 |
| 1912970872 | Cook Area Health Services, Inc | Clinic/Center | 410 Second St Nw, Box 218, Big Falls, MN 56627-0218 | 2006-02-10 |
| 1538132774 | Cook Area Health Services, Inc | Clinic/Center | 20 5th St Se, Cook, MN 55723-9702 | 2006-02-08 |
| 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 |
| 1437124401 | Cook Area Health Services, Inc | Clinic/Center | 20 5th St Se, Cook, MN 55723-9702 | 2006-02-22 |
| Street Address |
135 PINE TREE DR |
| City | BIGFORK |
| State | MN |
| Zip Code | 56628-0135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821621327 | Sabrina A Seyller | Nurse Practitioner | 135 Pine Tree Dr, Bigfork, MN 56628-4346 | 2020-02-13 |
| 1407367261 | Catherine Lynn Porter | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2017-10-19 |
| 1083165492 | Jeff Dahlquist | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2016-10-20 |
| 1932414935 | Kari Ann Drake | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2010-08-13 |
| 1689649915 | Jeffery P Scrivner | Family Medicine | 135 Pine Tree Dr, Bigfork, MN 56628 | 2006-02-21 |
| 1285609529 | George Edward Rounds | Family Medicine | 135 Pine Tree Dr, Bigfork, MN 56628-0135 | 2006-02-21 |
| 1912972290 | Denyse Sampson Trebs | Nurse Practitioner | 135 Pine Tree Dr, Bigfork, MN 56628-0135 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871926477 | Megan Brekke | Dietitian, Registered | 258 Pine Tree Dr, Bigfork, MN 56628 | 2013-08-19 |
| 1669585329 | Bigfork Ambulance Service Association | Ambulance | 105 Ash Street, Bigfork, MN 56628 | 2006-08-16 |
| 1851335525 | Northern Itasca Hospital District | General Acute Care Hospital | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-15 |
| 1649218231 | Suanne Marie Dullard | Dentist | 100 Pinetree Dr, Bigfork, MN 56628 | 2006-06-03 |
| 1861467219 | Heidi Jean Korstad | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2006-02-21 |
| 1770073322 | Lucy Helen-nevanen Corrin | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2018-05-18 |
| 1508307018 | Cook Area Health Services, Inc. | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2017-03-16 |
| 1164841540 | Barret Joella Myers Wolfson | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2014-04-14 |
| 1346669348 | Chelsea Mann | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2014-04-08 |
| 1073802047 | Eric Paul Scrivner | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2011-03-30 |
| Find all providers in zip 56628 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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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.