SANFORD MEDICAL CENTER THIEF RIVER FALLS (NPI# 1063564144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063564144 |
| Entity Type | Organization |
| Organization Name | SANFORD MEDICAL CENTER THIEF RIVER FALLS |
| Other Organization Name | SANFORD THIEF RIVER FALLS |
| Practice Address |
120 Labree Ave S Thief River Falls MN 56701-2819 |
| Practice Telephone | 2186814240 |
| Practice Fax Number | 2186834512 |
| Mailing Telephone | 2186814240 |
| Mailing Fax Number | 2186834512 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2014-07-21 |
| Authorized Official Name | HANNAH SHIRKEY (CFO) |
| Authorized Official Telephone | 2186834497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
200306-3 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | NCPDP NUMBER | 2412245 | 01 |
| Other Name | Type Code |
|---|---|
| Sanford Thief River Falls | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992105225 | Sanford Medical Center Thief River Falls | Psychiatric Hospital | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2014-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SANFORD MEDICAL CENTER THIEF RIVER FALLS | 120 Labree Ave S Ste A, Thief River Falls, MN 56701-2840 |
| Street Address |
120 LABREE AVE S |
| City | THIEF RIVER FALLS |
| State | MN |
| Zip Code | 56701-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992447 | Madaline G. Barnes | Psychologist | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2005-09-12 |
| 1710585286 | Sherrie Ann Kahn | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-10-15 |
| 1881212819 | Brady Anderson | Social Worker | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-07-07 |
| 1063035608 | Davis John Mills | Nurse Practitioner | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-05-18 |
| 1770103129 | Jennifer Rose Porter | Nurse Practitioner | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-04-25 |
| 1548800535 | Rozlynn O'lee Johnsrud | Nurse Practitioner | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-01-08 |
| 1811466444 | Angelica Erickson | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-11-13 |
| 1023504248 | Miranda Elizabeth Solem | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-07-11 |
| 1033603683 | Ashley Lauren Holtan | Speech-Language Pathologist | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-06-18 |
| 1790275196 | Dawn Marie Ellis | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265885834 | Julia Nelson | Physical Therapist | 1511 Highway 59 S Ste A, Thief River Falls, MN 56701 | 2016-07-19 |
| 1326321167 | Achieve Therapy LLC | Physical Therapist | 201 Brooks Ave, Thief River Falls, MN 56701 | 2011-09-27 |
| 1841581121 | Kathleen G. Barry | Dietitian, Registered | 120 Labree Ave S, Thief River Falls, MN 56701 | 2011-04-21 |
| 1740437789 | Altra Care P A | Clinic/Center | 1140 Vanrooy Dr., Thief River Falls, MN 56701 | 2008-08-21 |
| 1255514477 | Terrence Robert Demars | Social Worker | Meritcare Northwest Medical Center, 120 Labree Ave S, Thief River Falls, MN 56701 | 2007-12-11 |
| 1437290970 | Donna B Helmich | Dentist | 318 La Bree Ave. North, Thief River Falls, MN 56701 | 2007-02-09 |
| 1528129160 | Great Plains Ems, Inc | Ambulance | 511 N Atlantic, Thief River Falls, MN 56701 | 2006-12-13 |
| 1609959022 | John Lloyd Seaverson | Dentist | 318 Labree Ave North, Thief River Falls, MN 56701 | 2006-10-21 |
| 1932280120 | Pennington Health Services | Skilled Nursing Facility | 130 Labree Avenue South, Thief River Falls, MN 56701 | 2006-10-17 |
| 1336232495 | Anderson Hearing Center Ltd | Audiologist | 302 3rd St E, Thief River Falls, MN 56701 | 2006-10-02 |
| Find all providers in zip 56701 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1477872703 | Meritcare Wheaton Medical Center | Pharmacy | 401 12th St N, Wheaton, MN 56296-1070 | 2010-05-26 |
| 1659533362 | Regions Hospital Inpatient Pharmacy | Pharmacy | 640 Jackson St, Saint Paul, MN 55101-2502 | 2008-06-25 |
| 1235304130 | Fairview Health Svc | Pharmacy | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2008-04-23 |
| 1083804876 | Mayo Clinic Hospital-rochester | Pharmacy | 201 W Center St, Rochester, MN 55902-3003 | 2007-07-27 |
| 1194915983 | Mayo Clinic Hospital-rochester | Pharmacy | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2007-07-27 |
| 1205054590 | Tri-county Hospital Pharmacy | Pharmacy | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-04-23 |
| 1265581029 | St Joseph's Medical Center | Pharmacy | 523 N 3rd St, Brainerd, MN 56401-3054 | 2007-01-10 |
| 1386758373 | Gillette Children's Hospital | Pharmacy | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-08-18 |
| City | THIEF RIVER FALLS |
| Zip Code | 56701 |
Please comment or provide details below to improve the information on SANFORD MEDICAL CENTER THIEF RIVER FALLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.