SANFORD HEALTH OF NORTHERN MINNESOTA (NPI# 1457624272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457624272 |
Entity Type | Organization |
Organization Name | SANFORD HEALTH OF NORTHERN MINNESOTA |
Other Organization Name | SANFORD BAGLEY CLEARBROOK CLINIC |
Practice Address |
22 Elm St Nw Clearbrook MN 56634 |
Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
Practice Telephone | 2186943124 |
Practice Fax Number | 2186943184 |
Mailing Telephone | 6053286585 |
Enumeration Date | 2012-02-10 |
Last Update Date | 2020-07-01 |
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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sanford Bagley Clearbrook Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093278764 | Sanford Health of Northern Minnesota | Community/Behavioral Health | 3124 Hannah Ave Nw, Bemidji, MN 56601-5625 | 2019-04-10 |
1174042386 | Sanford Health of Northern Minnesota | Clinic/Center | 109 Grove Ave S Ste 1, Park Rapids, MN 56470-1787 | 2017-09-19 |
1902261456 | Sanford Health of Northern Minnesota | Clinic/Center | 106 5th St South, Walker, MN 56484-1123 | 2015-12-29 |
1700271061 | Sanford Health of Northern Minnesota | Eyewear Supplier (Equipment, not the service) | 1656 Central St W Ste A, Bagley, MN 56621-4357 | 2015-04-03 |
1013334457 | Sanford Health of Northern Minnesota | Optometrist | 1400 Hwy 71, International Falls, MN 56649-2189 | 2014-03-24 |
1770849697 | Sanford Health of Northern Minnesota | Family Medicine | 345 4th St Nw, Kelliher, MN 56650 | 2012-04-04 |
1184728743 | Sanford Health of Northern Minnesota | Durable Medical Equipment & Medical Supplies | 1233 34th St Nw Ste B, Bemidji, MN 56601-5112 | 2006-09-12 |
1730292178 | Sanford Health of Northern Minnesota | Hospice Care, Community Based | 3201 Pine Ridge Ave Nw, Suite A, Bemidji, MN 56601-5101 | 2006-08-17 |
1659376663 | Sanford Health of Northern Minnesota | Skilled Nursing Facility | 1000 Anne St Nw, Bemidji, MN 56601-5109 | 2005-06-16 |
1073166674 | Sanford Health of Northern Minnesota | Pharmacy | 81 1st St Nw, Ste A, Blackduck, MN 56630-0188 | 2019-07-23 |
Street Address |
22 ELM ST NW |
City | CLEARBROOK |
State | MN |
Zip Code | 56634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699865535 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 30 Main Street South, Clearbrook, MN 56634 | 2006-10-13 |
1114998457 | Clearwater County Memorial Hospital | Clinic/Center | 22 Elm Street Nw, Clearbrook, MN 56634 | 2006-01-26 |
1609918531 | B&d Mobility, Inc. | Non-emergency Medical Transport (VAN) | 223 Hwy 92 Sw, Clearbrook, MN 56634-0090 | 2007-02-14 |
1447349535 | Randy Carl Beard | Dentist | 113 Main St S, Clearbrook, MN 56634-0314 | 2006-10-12 |
1164511267 | Clearbrook Dental Clinic, Ltd | Clinic/Center | 113 Main St S, Clearbrook, MN 56634-0314 | 2006-10-12 |
1396869954 | Amy M Beckstrand | Massage Therapist | 18240 Leonard Rd, Clearbrook, MN 56634-4207 | 2007-03-19 |
1417047820 | Clearbrook-gonvick Isd #2311 | Local Education Agency (LEA) | 16770 Clearwater Lake Rd, Clearbrook, MN 56634-4223 | 2006-10-14 |
1437221421 | Stellher Human Services, Inc. | Community/Behavioral Health | 16770 Clearwater Lake Rd, Clearbrook, MN 56634-4223 | 2006-11-14 |
1184901993 | Nancy Campbell | Registered Nurse | 221 3rd Ave Sw, Clearbrook, MN 56634-4241 | 2011-11-08 |
1588893291 | Home At Heart Care, Inc. | Home Health | 221 3rd Ave Sw Ste 3, Clearbrook, MN 56634-4241 | 2009-07-02 |
Find all providers in zip 56634 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114998457 | Clearwater County Memorial Hospital | Clinic/Center | 22 Elm Street Nw, Clearbrook, MN 56634 | 2006-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
1659568020 | Centracare Health System-long Prairie | Clinic/Center | 815 Highway 71 South, Eagle Valley Clinic, Eagle Bend, MN 56446-0298 | 2007-10-01 |
Find all providers with the same taxonomy |
City | CLEARBROOK |
Zip Code | 56634 |
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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.