SANFORD HEALTH NETWORK NORTH (NPI# 1114281250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114281250 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH NETWORK NORTH |
| Other Organization Name | SANFORD MAYVILLE |
| Practice Address |
600 1st St Se Mayville ND 58257-1518 |
| Practice Telephone | 7017864500 |
| Mailing Telephone | 7017864500 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | MARTHA K LECLERC (VICE PRESIDENT) |
| Authorized Official Telephone | 7012346248 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sanford Mayville | Doing Business As 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 |
| 1912261058 | Sanford Health Network North | Family Medicine | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 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 |
600 1ST ST SE |
| City | MAYVILLE |
| State | ND |
| Zip Code | 58257-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831578541 | Travis Waswick | Family Medicine | 600 1st St Se, Mayville, ND 58257 | 2015-05-27 |
| 1134538911 | Rebekah J Aakre | Nurse Practitioner | 600 1st St Se, Mayville, ND 58257-1518 | 2014-08-06 |
| 1134552763 | Sarah B Gustafson | Nurse Practitioner | 600 1st St Se, Mayville, ND 58257-1518 | 2013-08-19 |
| 1063672749 | Jane Ostlie | Family Medicine | 600 1st St Se, Mayville, ND 58257-1518 | 2008-06-16 |
| 1366478760 | Sanford Health Network North | Internal Medicine | 600 1st St Se, Mayville, ND 58257-1518 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992186530 | Jeremy Johnson | Student in an Organized Health Care Education/Training Program | 1141 154th Ave Ne, Mayville, ND 58257 | 2015-06-09 |
| 1861556102 | Union Hospital Society of Mayvile Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2006-12-21 |
| 1376635755 | Scott Edward Omdalen | Chiropractor | 45 1st Ave Se, Mayville, ND 58257 | 2006-09-29 |
| 1164522306 | Goose River Dental Assoc., PC | Dentist | 37 1/2 Main St E, Mayville, ND 58257 | 2006-09-25 |
| 1487757423 | Pride Medical Supplies | Durable Medical Equipment & Medical Supplies | 303 Miller Rd, #2019, Scottsdale, AZ 58257 | 2006-09-06 |
| 1689697062 | West Traill Ambulance Service, Inc | Ambulance | 43 7th Ave Se, Mayville, ND 58257 | 2006-07-26 |
| 1346365079 | Omdalen Chiropractic Clinic PC | Chiropractor | 45 1st Ave Se, Mayville, ND 58257 | 2007-03-20 |
| 1568599033 | Union Hospital Society of Mayville Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2007-02-28 |
| 1457488975 | Union Hospital Society of Mayville Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2007-02-28 |
| 1003996786 | Susan R Willyard | Dietitian, Registered | 42 6th Ave Se, Union Hospital, Mayville, ND 58257 | 2006-10-16 |
| Find all providers in zip 58257 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619072204 | Family Health Medical Services Pllc | Family Medicine | 95 East Chautauqua St., Mayville, NY 14757-0168 | 2006-09-14 |
| 1427049063 | Beth Collister | Family Medicine | 360 S Mountin Dr, Mayville, WI 53050-1498 | 2005-11-02 |
| 1154821387 | Mayville Family Practice LLC | Family Medicine | 130 S Main St, Mayville, WI 53050-1620 | 2018-02-14 |
| 1750835054 | Paladina Health, LLC | Family Medicine | 11 S Main St, Mayville, WI 53050-1641 | 2016-08-04 |
| 1831578541 | Travis Waswick | Family Medicine | 600 1st St Se, Mayville, ND 58257 | 2015-05-27 |
| 1851610950 | Jeremy Martin Riedesel | Family Medicine | 95 E Chautauqua St, Mayville, NY 14757-0168 | 2010-05-28 |
| 1063672749 | Jane Ostlie | Family Medicine | 600 1st St Se, Mayville, ND 58257-1518 | 2008-06-16 |
| 1376625103 | Charles E Sammis | Family Medicine | 130 S Main St, Mayville, WI 53050-1620 | 2006-10-20 |
| 1316028400 | Maria Livieratos | Family Medicine | 2180 E Ohmer Rd, Mayville, MI 48744 | 2006-10-17 |
| 1093755068 | Alisha L Ketterer | Family Medicine | 360 S Mountin Dr, Mayville, WI 53050-1498 | 2006-06-07 |
| Find all providers in MAYVILLE | ||||
Please comment or provide details below to improve the information on SANFORD HEALTH NETWORK NORTH.
| 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.