Cook Area Health Services, Inc
Organization Active NPI Clinic/Center · Big Falls, MN
NPI 1912970872 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1912970872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- COOK AREA HEALTH SERVICES, INC
- Practice address
- 410 2ND St NW
Big Falls, MN 56627-3037 - Phone
- (218) 276-2403
- Fax
- (218) 276-2302
- NPI assigned
- Feb 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Keith D Harvey
- Title
- Ceo
- Phone
- (218) 666-5941
Owners & managing parties with NPI records 1
-
Jeffrey P Scrivner, M.D.
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 6
Practitioners 31
-
Celin R Williams, MSW, LICSW
-
Kristen Dombovy, DNP
-
Kari Ann Drake, PA-C
-
Emily Marie Hadrava, RN, CNP
-
Matthew Anders Holmes, M.D.
-
Katherine Joy Leppert, APRN, NP
-
Julie Anne Miller, FNP
-
Barret J Myers, M.D.
-
Cynthia A Sandberg, CFNP CPNP RN
-
Heidi Jean Schminski, APRN, CNP
-
Eric P Scrivner, M.D.
-
Jeffrey P Scrivner, M.D.
-
Erin R Thielbar, FNP-C
-
Nicholas Brian Vidor, M.D.
-
Allison L Weddle, APRN
-
Kiara Westendorf, LICSW
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0693151 | Scenic Rivers Health Services | Certificate of waiver | May 9, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
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
- Corporation · Non-profit
- Incorporated
- Mar 1, 1979 in MN
- Enrollment address
- 410 2ND St NW
Big Falls, MN 56627-0218
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Elizabeth G Storm |
Corporate Director |
Jan 1, 2022 | |
| Wende Nelson |
Corporate Director |
Jan 1, 2016 | |
| Robert Walker |
Corporate Director | Jan 1, 2021 | |
| Mary G Blackmer |
Corporate Officer |
Jan 1, 1992 | |
| Corporate Director |
Jan 1, 1992 | ||
| Karen M Lorenzen |
Corporate Director |
Jan 1, 2013 | |
| Richard V Hanson |
Corporate Director | Apr 1, 2017 | |
| W-2 Managing Employee |
May 1, 1979 | ||
| Marian a Swang |
Corporate Director |
Jan 1, 2013 | |
| Michael a Holmes |
Corporate Officer |
Jun 23, 2010 | |
| Operational/Managerial Control |
May 1, 1979 | ||
| Marci L Maple |
Corporate Director |
Jan 1, 2021 | |
| Jeffrey P Scrivner |
Operational/Managerial Control |
Nov 1, 1984 | |
| Robin Harkonen |
Corporate Director |
Jan 1, 2021 | |
| William H Tibbetts |
Corporate Officer |
Jan 1, 2002 | |
| Corporate Director |
Jan 1, 2002 | ||
| Keith D Harvey |
Corporate Officer |
Jul 21, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Nett Lake Health Center
Locations
410 2nd St NW
Big Falls, MN 56627
Phone (218) 276-2403
410 2nd St NW
#218
Big Falls, MN 56627
135 Pine Tree Dr
Bigfork, MN 56628
Phone (218) 743-3232
12052 Main St
Northome, MN 56661
Phone (218) 897-5222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241811 | Other | MEDICARE | |
| 1912970872 | Medicaid | MN | |
| 505310200 | Medicaid | MN |
Other names
- Scenic Rivers Health Services
Other providers in Big Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.