SANFORD HEALTH OF NORTHERN MINNESOTA (NPI# 1184728743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184728743 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH OF NORTHERN MINNESOTA |
| Other Organization Name | SANFORD BEMIDJI INFUSION PHARMACY |
| Practice Address |
1233 34th St Nw Ste B Bemidji MN 56601-5112 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 2183334470 |
| Mailing Telephone | 2183334770 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | Y |
| Parent Organization Name | SANFORD HEALTH OF NORTHERN MINNESOTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1184728743 | 05 | |
| NCPDP | 2425660 | 01 |
| Other Name | Type Code |
|---|---|
| Sanford Bemidji Infusion Pharmacy | Doing Business As Name - Organization |
| Sanford Pharmacy 1705 Anne St | 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 |
| 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 |
1233 34TH ST NW STE B |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912060146 | Biorx LLC | Pharmacy | 8690 Eagle Creek Pkwy, Savage, MN 55378-1284 | 2006-12-19 |
| 1821048950 | Accredo Health Group Inc | Pharmacy | 2915 Waters Rd, Ste 109, Eagan, MN 55121-1562 | 2006-05-11 |
| 1689112898 | Park Nicollet Methodist Hospital | Pharmacy | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2017-02-08 |
| 1942663711 | Healtheast Care System | Pharmacy | 1700 University Ave W, Saint Paul, MN 55104 | 2016-03-30 |
| 1548595218 | Healtheast Care System | Pharmacy | 1700 University Ave W, 4th Floor, Saint Paul, MN 55104-3727 | 2009-10-13 |
| 1942424742 | Park Nicollet Methodist Hospital | Pharmacy | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2007-04-12 |
| 1962537118 | Fairview Pharmacy Services, LLC | Pharmacy | 711b Kasota Ave Se, Minneapolis, MN 55414 | 2007-02-21 |
| 1841332764 | Children's Health Care | Pharmacy | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2007-02-14 |
| 1932266632 | Pediatric Home Respiratory Services LLC | Pharmacy | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2007-01-02 |
| 1336180116 | Merwin Iv & Specialty Pharmacy, LLC | Pharmacy | 1811 Old Highway 8 Nw, Ste C, New Brighton, MN 55112-1828 | 2006-06-10 |
| 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.