SANFORD HEALTH OF NORTHERN MINNESOTA (NPI# 1558563668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558563668 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH OF NORTHERN MINNESOTA |
| Other Organization Name | SANFORD HEALTH BAUDETTE EYE CENTER |
| Practice Address |
103 Main St Suite B Baudette MN 56623-2475 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 2186341202 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-07-02 |
| 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 |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Sanford Health Baudette Eye Center | Doing Business As Name - Organization |
| Sanford Health Baudette Eye Center & Optical | 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 |
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 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 |
| Street Address |
103 MAIN ST SUITE B |
| City | BAUDETTE |
| State | MN |
| Zip Code | 56623-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346380680 | Lake of The Woods County Social Services | Public Health or Welfare | 206 8th Ave. Se, Suite 200, Baudette, MN 56623 | 2007-02-07 |
| 1225183981 | Cja Consulting, Inc. | Psychologist | 106 8th Ave Se, Suite 200, Baudette, MN 56623 | 2007-01-24 |
| 1164504049 | Independent School District No 390 | Local Education Agency (LEA) | 236 15th Ave Sw, Baudette, MN 56623 | 2006-10-19 |
| 1811993421 | Constance Anderson Aagard | Psychologist | 106 8th Ave. Se, Baudette, MN 56623 | 2005-06-28 |
| 1730184797 | David Clark Wohlrabe | Dentist | 406 Main St. Nw, Baudette, MN 56623-0546 | 2005-06-16 |
| 1568591097 | Davy L Nesmoe | Chiropractor | 204 Main Ave North, Baudette, MN 56623-1039 | 2007-03-02 |
| 1447255385 | Smn Inc | Pharmacy | 111 N Main Ave, Baudette, MN 56623-2466 | 2005-06-16 |
| 1639782311 | Brennin Kyle O'brien | Pharmacist | 111 N Main Ave, Baudette, MN 56623-2466 | 2020-08-24 |
| 1477053577 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 111 N Main Ave, Baudette, MN 56623-2466 | 2018-02-15 |
| 1598947533 | Stuart Michael Noble | Pharmacist | 111 N Main Ave, Baudette, MN 56623-2466 | 2007-12-01 |
| Find all providers in zip 56623 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1891351268 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1101 E College Dr, Marshall, MN 56258-2366 | 2019-05-11 |
| 1730745100 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1459 W Service Dr, Winona, MN 55987-2512 | 2019-05-11 |
| 1649836016 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1023 E Blue Earth Ave, Fairmont, MN 56031-4076 | 2019-05-11 |
| 1124684592 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1004 18th Ave Nw Ste D, Austin, MN 55912-1993 | 2019-05-11 |
| 1053977421 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 | 2019-05-11 |
| 1942866371 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 4051 W Division St Ste A, Saint Cloud, MN 56301-3741 | 2019-05-10 |
| 1831651165 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 3366 Oakdale Ave N Ste 140, Robbinsdale, MN 55422-2961 | 2019-04-04 |
| 1538624341 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 9825 Hospital Dr # 106, Maple Grove, MN 55369-4479 | 2019-02-06 |
| 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.