NPIMap

Organization Active NPI

Cook Area Health Services, Inc

  • Dental Clinic/Center
  • Floodwood, MN
National Provider Identifier
1699748533
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COOK AREA HEALTH SERVICES, INC
Practice address
810 Poplar St
Floodwood, MN 55736-4002
Phone
(218) 476-2969
Fax
(218) 476-1599
NPI assigned
Feb 10, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

810 Poplar St
Floodwood, MN 55736-4002

Mailing address

20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941

Other identifiers 1

IdentifierTypeStateIssuer
366254300MedicaidMN

Other names 1

  • Scenic Rivers Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nett Lake Health Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12 S River St
Cook, MN 55723
Phone (218) 361-3149

601 Highway 73
#46
Floodwood, MN 55736
Phone (218) 476-2969

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1699748533",
    "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": "218-666-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 POPLAR ST",
            "city": "FLOODWOOD",
            "state": "MN",
            "postal_code": "557364002",
            "telephone_number": "218-476-2969",
            "fax_number": "218-476-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK AREA HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "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": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366254300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scenic Rivers Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floodwood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.