| Scenic Rivers Health Services | |
|
415 N 2nd St Suite 2 Tower MN 55790 | |
| (218) 753-2405 | |
| Not Available |
| Full Name | Scenic Rivers Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 N 2nd St, Tower, Minnesota |
| Authorized Official Name and Position | Michael A Holmes (CEO) |
| Authorized Official Contact | 2183613127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scenic Rivers Health Services 20 5th St Se Cook MN 55723-9702 Ph: (218) 753-2405 | Scenic Rivers Health Services 415 N 2nd St Suite 2 Tower MN 55790 Ph: (218) 753-2405 |
| NPI Number | 1750633806 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 11/19/2013 |
| Medicare PECOS PAC ID | 4880681303 |
|---|---|
| Medicare Enrollment ID | O20130814000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750633806 | NPI | - | NPPES |
| 1750633806 | Medicaid | MN | |
| 241865 | Other | MN | MEDICARE ID - TYPE UNSPECIFIED |
| 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: Not Enrolled in Medicare Practice Location: 415 N 2nd St, Suite 2 D, Tower, MN 55790 Phone: 218-753-2405 Fax: 218-361-3277 |