SANFORD HEALTH NETWORK NORTH (NPI# 1518061803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518061803 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH NETWORK NORTH |
| Other Organization Name | SANFORD MEDICAL CENTER MAYVILLE |
| Practice Address |
42 6th Ave Se Mayville ND 58257-1506 |
| Mailing Address |
Po Box 2168 Fargo ND 58107-2168 |
| Practice Telephone | 7017883800 |
| Practice Fax Number | 7017882145 |
| Mailing Telephone | 7012342119 |
| Enumeration Date | 2006-09-08 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
5034 | ND | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 001906 | 05 | |
| MN | 940850900 | 05 | |
| ND | BLUE CROSS OF ND | 000273 | 01 |
| ND | ND BLUE CROSS BLUE SHIELD | 002683 | 01 |
| MN BLUE CROSS BLUE SHIELD | 0953HUN | 01 | |
| MEDICA | 5021423 | 01 | |
| ND | 001038 | 05 | |
| ND | TRICARE | 003200008 | 01 |
| PREFERRED ONE | 01010308 | 01 |
| Other Name | Type Code |
|---|---|
| Sanford Medical Center Mayville | 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 |
| 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 |
| 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 |
42 6TH AVE SE |
| City | MAYVILLE |
| State | ND |
| Zip Code | 58257-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305934 | Kelly Osland | Physical Therapist | 42 6th Ave Se, Mayville, ND 58257-1506 | 2020-08-04 |
| 1326376997 | Gary A Matthys Md Plc | Orthopaedic Surgery | 42 6th Ave Se, Mayville, ND 58257-1506 | 2009-11-19 |
| 1760601066 | Richard Jerome Ness | Physical Therapist | 42 6th Ave Se, Mayville, ND 58257-1506 | 2007-04-25 |
| 1154448421 | Cherron Marie Kingzett Halvorson | Physical Therapist | 42 6th Ave Se, Mayville, ND 58257-1506 | 2007-03-23 |
| 1538297155 | Union Hospital Soceity of Mayville Nd | Registered Nurse | 42 6th Ave Se, Mayville, ND 58257-1506 | 2007-03-02 |
| 1003996786 | Susan R Willyard | Dietitian, Registered | 42 6th Ave Se, Union Hospital, Mayville, ND 58257 | 2006-10-16 |
| 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 |
| 1831578541 | Travis Waswick | Family Medicine | 600 1st St Se, Mayville, ND 58257 | 2015-05-27 |
| 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 |
| Find all providers in zip 58257 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861556102 | Union Hospital Society of Mayvile Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2006-12-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396006953 | Niran Kotrapu | General Acute Care Hospital | 1048 N Parkview Dr, Bismarck, ND 58501-2469 | 2012-05-30 |
| 1457477218 | St Aloisius Hospital Inc | General Acute Care Hospital | 325 Brewster St E, Harvey, ND 58341-1653 | 2007-03-22 |
| 1760542500 | Pembina County Memorial Hospital Association | General Acute Care Hospital | 301 Mountain St E, Cavalier, ND 58220 | 2006-12-11 |
| 1184725194 | Sanford Health Network North | General Acute Care Hospital | 12 3rd St Se, Hillsboro, ND 58045-4840 | 2006-09-25 |
| 1215942032 | St. Luke's Hospital | General Acute Care Hospital | 702 1st Sw, Crosby, ND 58730-0010 | 2006-07-30 |
| 1154352169 | Towner County Medical Center Inc | General Acute Care Hospital | Highway 281 North, Cando, ND 58324-0688 | 2006-07-06 |
| 1295772804 | Wishek Hospital-clinic Association | General Acute Care Hospital | 1007 4th Ave S, Wishek, ND 58495-7527 | 2006-06-01 |
| 1750328662 | Cavalier County Memorial Hospital Association | General Acute Care Hospital | 909 2nd St, Langdon, ND 58249-2407 | 2006-05-31 |
| 1609813625 | Linton Hospital | General Acute Care Hospital | 518 N Broadway St, Linton, ND 58552-7308 | 2006-05-31 |
| 1336196039 | Jacobson Memorial Hospital Care Center | General Acute Care Hospital | 601 East St N, Elgin, ND 58533-7105 | 2006-05-28 |
| Find all providers with the same taxonomy | ||||
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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.