SANFORD HEALTH NETWORK NORTH (NPI# 1063706489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063706489 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH NETWORK NORTH |
| Other Organization Name | SANFORD MEDICAL CENTER WHEATON |
| Practice Address |
401 12th St N Wheaton MN 56296-1070 |
| Mailing Address |
Po Box 2168 Fargo ND 58107-2168 |
| Practice Telephone | 3205638971 |
| Mailing Telephone | 7012342119 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Sanford Medical Center Wheaton | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790842466 | Sanford Health Network North | Case Management | 921 Atlantic Ave, Thief River Falls, MN 56701-1638 | 2007-01-02 |
| 1184725194 | Sanford Health Network North | General Acute Care Hospital | 12 3rd St Se, Hillsboro, ND 58045-4840 | 2006-09-25 |
| 1518061803 | Sanford Health Network North | General Acute Care Hospital | 42 6th Ave Se, Mayville, ND 58257-1506 | 2006-09-08 |
| 1265464259 | Sanford Health Network North | Family Medicine | 315 E Caledonia Ave, Hillsboro, ND 58045-4701 | 2006-07-07 |
| 1407882780 | Sanford Health Network North | Clinic/Center | 445 1st St E, Halstad, MN 56548-4142 | 2006-06-25 |
| 1043218753 | Sanford Health Network North | General Acute Care Hospital | 3001 Sanford Parkway, Thief River Falls, MN 56701-2700 | 2005-07-07 |
| 1386047355 | Sanford Health Network North | Clinical Neuropsychologist | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2014-10-03 |
| 1861895906 | Sanford Health Network North | Clinic/Center | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2014-10-03 |
| 1760737670 | Sanford Health Network North | Clinic/Center | 401 12th St N, Wheaton, MN 56296-1070 | 2012-07-17 |
| 1114281250 | Sanford Health Network North | Family Medicine | 600 1st St Se, Mayville, ND 58257-1518 | 2012-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SANFORD HEALTH NETWORK NORTH | 801 Broadway N, Fargo, ND 58102-3641 |
| Street Address |
401 12TH ST N |
| City | WHEATON |
| State | MN |
| Zip Code | 56296-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045253 | City of Wheaton | General Acute Care Hospital | 401 12th St N, Wheaton, MN 56296-1070 | 2005-07-07 |
| 1821646704 | Nancy Marie Teravskis | Occupational Therapist | 401 12th St N, Wheaton, MN 56296-1070 | 2019-09-03 |
| 1609343896 | Paige Elizabeth Jenson | Physician Assistant | 401 12th St N, Wheaton, MN 56296-1070 | 2018-10-26 |
| 1760737670 | Sanford Health Network North | Clinic/Center | 401 12th St N, Wheaton, MN 56296-1070 | 2012-07-17 |
| 1154615573 | Sanford Health Network North | Ambulance | 401 12th St N, Wheaton, MN 56296-1070 | 2011-06-02 |
| 1245524669 | Sanford Health Network North | Clinic/Center | 401 12th St N, Wheaton, MN 56296-1070 | 2011-06-02 |
| 1477872703 | Meritcare Wheaton Medical Center | Pharmacy | 401 12th St N, Wheaton, MN 56296-1070 | 2010-05-26 |
| 1922287127 | City of Wheaton | Clinic/Center | 401 12th St N, Wheaton, MN 56296-1070 | 2007-10-24 |
| 1457540783 | George H Kuzma | Family Medicine | 401 12th St N, Wheaton, MN 56296-1070 | 2007-10-23 |
| 1396950960 | City of Wheaton | Medicare Defined Swing Bed Unit | 401 12th St N, Wheaton, MN 56296-1070 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124222815 | Traverse County Social Services | Public Health or Welfare | 202 8th Street North, Wheaton, MN 56296 | 2007-06-14 |
| 1649491275 | Jill M Lemke | Occupational Therapist | 1205 5th Ave. N., Wheaton, MN 56296 | 2007-05-01 |
| 1710961495 | Michael Robert Marchetti | Dentist | 1511 Broadway, Box 84, Wheaton, MN 56296-1040 | 2005-12-06 |
| 1043458466 | Prairie Acupuncture and Natural Healing Center, Inc. | Clinic/Center | 1502 Broadway, Wheaton, MN 56296-1041 | 2009-01-22 |
| 1619915543 | Fergus Falls Medical Group, P.a. | Clinic/Center | 403 12th St N, Wheaton, MN 56296-1070 | 2006-06-03 |
| 1851589634 | Traverse Care Center - Wheaton Community Hospital Jpa | Home Health | 403 12th St N, Wheaton, MN 56296-1070 | 2007-10-05 |
| 1891724712 | Ranney Furniture and Funeral, Inc. | Durable Medical Equipment & Medical Supplies | 102 10th St N, Wheaton, MN 56296-1236 | 2006-07-02 |
| 1477720795 | Conroy Eye Care PC | Optometrist | 1011 Broadway, Wheaton, MN 56296-1303 | 2008-05-15 |
| 1710099718 | Wheaton Drug Comapny | Pharmacy | 1105 Broadway, Wheaton, MN 56296-1307 | 2006-08-31 |
| 1497298954 | Dozak Drug LLC | Pharmacy | 1105 Broadway, Wheaton, MN 56296-1307 | 2016-11-30 |
| Find all providers in zip 56296 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396950960 | City of Wheaton | Medicare Defined Swing Bed Unit | 401 12th St N, Wheaton, MN 56296-1070 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881039659 | Metropolitan Health Medical Center | Medicare Defined Swing Bed Unit | 3055 Old Highway 8 Ste 2, St Anthony, MN 55418-2500 | 2013-05-07 |
| 1952359614 | Centracare Health System - Long Prairie | Medicare Defined Swing Bed Unit | 50 Centracare Dr, Long Prairie, MN 56347 | 2006-05-05 |
| 1952370348 | City of Sleepy Eye | Medicare Defined Swing Bed Unit | 400 4th Ave Nw, Sleepy Eye, MN 56085-1109 | 2006-03-16 |
| 1932738218 | Essentia Health Moose Lake | Medicare Defined Swing Bed Unit | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-04-07 |
| 1578106498 | Avera Granite Falls | Medicare Defined Swing Bed Unit | 345 10th Ave, Granite Falls, MN 56241-1442 | 2019-10-23 |
| 1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1578078036 | Winona Health Services | Medicare Defined Swing Bed Unit | 855 Mankato Ave, Winona, MN 55987-4868 | 2017-12-06 |
| 1649705690 | Stevens Community Medical Center Inc | Medicare Defined Swing Bed Unit | 400 E. 1st Street, Morris, MN 56267 | 2017-04-27 |
| 1316374978 | Bridges Medical Center | Medicare Defined Swing Bed Unit | 201 9th St W, Ada, MN 56510-1279 | 2013-09-27 |
| 1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
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| 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.