SANFORD HEALTH OF NORTHERN MINNESOTA


Address: 22 Elm St Nw, Clearbrook, MN 56634
Phone: 2186943124

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Sanford Bagley Clearbrook Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 22 ELM ST NW
City CLEARBROOK
State MN
Zip Code 56634

Providers in the same zip code

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 Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114998457 Clearwater County Memorial Hospital Clinic/Center 22 Elm Street Nw, Clearbrook, MN 56634 2006-01-26

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City CLEARBROOK
Zip Code 56634

Improve Information

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Dataset Information

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.

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