NPIMap

Organization Active NPI

Cook Area Health Services, Inc

Doing business as Scenic Rivers Health Services

  • Clinic/Center
  • Big Falls, MN
National Provider Identifier
1912970872
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
410 2ND St NW
Big Falls, MN 56627-3037
Phone
(218) 276-2403
Fax
(218) 276-2302
NPI assigned
Feb 10, 2006
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) 666-5941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

410 2ND St NW
Big Falls, MN 56627-3037

Mailing address

135 Pine Tree Dr
PO Box 135
Bigfork, MN 56628-0135
Phone (218) 743-3232

Other names 1

  • Scenic Rivers Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

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
O20101119001059 MN Part A Provider - Federally Qualified Health Center (FQHC) 4880681303 1 other NPI on this enrollment
Practice locations: Big Falls, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912970872. Details of each certification follow.

Federally qualified health center certification: CCN 241811

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
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1979 in MN
Enrollment address
410 2ND St NW
Big Falls, MN 56627-0218

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
24D0693151Scenic Rivers Health Services410 Second Street NW PO Box 218, Big Falls, MN 56627Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Cook Area Health Services I7 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

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

410 2nd St NW
#218
Big Falls, MN 56627

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
Elizabeth G Storm Individual Corporate DirectorBoard Member Jan 1, 2022
Wende Nelson Individual Corporate DirectorBoard Member Jan 1, 2016
Robert Walker Individual Corporate Director Jan 1, 2021
Mary G Blackmer Individual Corporate OfficerSecretary/Treasurer Jan 1, 1992
Corporate DirectorSecretary/Treasurer Jan 1, 1992
Karen M Lorenzen Individual Corporate DirectorBoard Member Jan 1, 2013
Richard V Hanson Individual Corporate Director Apr 1, 2017
W-2 Managing EmployeeCeo May 1, 1979
Marian a Swang Individual Corporate DirectorBoard Member Jan 1, 2013
Michael a Holmes Individual Corporate OfficerChief Executive Officer Jun 23, 2010
Operational/Managerial ControlCeo May 1, 1979
Marci L Maple Individual Corporate DirectorBoard Member Jan 1, 2021
Jeffrey P Scrivner Individual Operational/Managerial ControlMedical Director Nov 1, 1984
Robin Harkonen Individual Corporate DirectorBoard Member Jan 1, 2021
William H Tibbetts Individual Corporate OfficerPresident Jan 1, 2002
Corporate DirectorPresident Jan 1, 2002
Keith D Harvey Individual Corporate OfficerChief Financial Officer Jul 21, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 6

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.

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": "1912970872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PINE TREE DR",
            "address_2": "PO BOX 135",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "566280135",
            "telephone_number": "218-743-3232",
            "fax_number": "218-743-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 2ND ST NW",
            "city": "BIG FALLS",
            "state": "MN",
            "postal_code": "566273037",
            "telephone_number": "218-276-2403",
            "fax_number": "218-276-2302"
        }
    ],
    "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": "218-666-5941"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scenic Rivers Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Falls, MN

Sources for this page

Verify at the official NPI Registry.