Provider Type Icon

COOK AREA HEALTH SERVICES INC NPI 1912970849


NPI Information

NPI: 1912970849
Provider Name: COOK AREA HEALTH SERVICES, INC

Doing Business As: SCENIC RIVERS HEALTH SERVICES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 24D0725037

Address:
12052 MAIN ST
NORTHOME, MN
ZIP 56661
Phone: (218) 897-5222
Get Directions

COOK AREA HEALTH SERVICES, INC is a clinic center in Northome, MN. The provider is 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). COOK AREA HEALTH SERVICES, INC NPI is 1912970849. The provider is registered as an organization entity type.
The provider Is Doing Business As Scenic Rivers Health Services.

The provider's business location address is:

12052 MAIN ST
NORTHOME, MN
ZIP 56661-066
Phone: (218) 897-5222
Fax: (218) 897-5226

The provider's authorized official is Michael A Holmes .
The authorized official title is Ceo and has the following contact phone number (218) 666-5941.

The CLIA number assigned to this NPI record is 24D0725037 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/10/2006 and was last updated on 3/6/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterN/ANo
2261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1216354300MEDICAIDMINNESOTA
224-1812MEDICARE PINMINNESOTA
3C06888MEDICARE PINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.