NPIMap

Organization Active NPI

Cook Area Health Services, Inc

Doing business as Scenic Rivers Health Services

  • Clinic/Center
  • Eveleth, MN
National Provider Identifier
1508443847
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COOK AREA HEALTH SERVICES, INC
Doing business as
Scenic Rivers Health Services
Practice address
239 McKinley Ave
Eveleth, MN 55734-1606
Phone
(218) 361-3300
Fax
(216) 666-5099
NPI assigned
Mar 24, 2021
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keith D Harvey
Title
Ceo
Phone
(218) 361-3135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

239 McKinley Ave
Eveleth, MN 55734-1606

Mailing address

20 5TH St SE
Cook, MN 55723-9702
Phone (218) 361-3135

Other identifiers 2

IdentifierTypeStateIssuer
1508443847MedicaidMN
241895OtherMEDICARE

Other names 1

  • Scenic Rivers Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040427001470 MN Part B Supplier - Clinic/Group Practice 4880681303 Receives reassigned benefits from 35 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eveleth, MN; Tower, MN; Northome, MN; Floodwood, MN; Cook, MN; Bigfork, MN; Big Falls, MN
O20210707003548 MN Part A Provider - Federally Qualified Health Center (FQHC) 4880681303 Practice locations: Eveleth, MN
O20211220002006 MN Part B Supplier - Clinic/Group Practice 4880681303 Receives reassigned benefits from 12 practitioners
Practice locations: Eveleth, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508443847. Details of each certification follow.

Federally qualified health center certification: CCN 241895

Legal name
COOK AREA HEALTH SERVICES, INC
Doing business as
SCENIC RIVERS HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 7, 2021
Last certification
Jul 7, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 8, 1979 in MN
Enrollment address
239 McKinley Ave
Eveleth, MN 55734-1606

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1021726Scenic Rivers Health Services - Eveleth239 McKinley Avenue, Eveleth, MN 55734ComplianceMay 15, 2028

National Provider Directory

National Provider Directory

Locations

410 2nd St NW
Big Falls, MN 56627
Phone (218) 276-2403

12052 Main St
Northome, MN 56661
Phone (218) 897-5222

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephanie a Burckhardt Individual Corporate DirectorBoard Member Jan 1, 2015
Wende Nelson Individual Corporate DirectorBoard Member Jan 1, 2016
Daniel Kerr Individual Corporate DirectorBoard Member Jan 1, 2019
Nancy L Mault Individual W-2 Managing EmployeeCoo Jul 1, 2014
Robert Walker Individual Corporate DirectorBoard Member Jan 1, 2019
Mary G Blackmer Individual Corporate OfficerSec-Treasurer Jan 1, 1992
Karen M Lorenzen Individual Corporate DirectorBoard Member Jan 1, 2013
William N Swanberg Individual Corporate DirectorBoard Member Jul 1, 2018
Richard V Hanson Individual Corporate DirectorBoard Member Jan 1, 2017
Marian a Swang Individual Corporate DirectorBoard Member Jan 1, 2013
Michael a Holmes Individual Corporate DirectorCeo May 1, 1979
W-2 Managing EmployeeCeo May 1, 1979
William H Tibbetts Individual Corporate OfficerPresident Jan 1, 2002
Keith D Harvey Individual Corporate DirectorCfo Jul 21, 2014
W-2 Managing EmployeeCfo Jul 21, 2014

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1508443847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 5TH ST SE",
            "city": "COOK",
            "state": "MN",
            "postal_code": "557239702",
            "telephone_number": "218-361-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MCKINLEY AVE",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557341606",
            "telephone_number": "218-361-3300",
            "fax_number": "216-666-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK AREA HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-361-3135"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508443847",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "241895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scenic Rivers Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eveleth, MN

Sources for this page

Verify at the official NPI Registry.