SANFORD HEALTH NETWORK NORTH (NPI# 1386047355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386047355 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH NETWORK NORTH |
| Other Organization Name | SANFORD HEALTH SOUTHEAST CAMPUS |
| Practice Address |
1720 Highway 59 S Thief River Falls MN 56701-4331 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 2186814747 |
| Practice Fax Number | 2186832595 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2020-06-30 |
| 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 | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sanford Health Southeast Campus | Doing Business As Name - Organization |
| Sanford Health Thief River Falls Eye Center & Optical | Doing Business As Name - Organization |
| Sanford Medical Center Thief River Falls | 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 |
| 1518061803 | Sanford Health Network North | General Acute Care Hospital | 42 6th Ave Se, Mayville, ND 58257-1506 | 2006-09-08 |
| 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 |
| 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 |
1720 HIGHWAY 59 S |
| City | THIEF RIVER FALLS |
| State | MN |
| Zip Code | 56701-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518915420 | Paul Adams | Psychologist | 1720 Highway 59 S, Northwest Medical Center Mental Health Division, Thief River Falls, MN 56701-4331 | 2006-05-04 |
| 1437406907 | Patrick Jahn | Nurse Practitioner | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2012-08-14 |
| 1912261058 | Sanford Health Network North | Family Medicine | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2012-07-03 |
| 1992081020 | Sanford Health Network North | Eyewear Supplier (Equipment, not the service) | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2011-11-03 |
| 1043524465 | Elizabeth L Jahn | Nurse Practitioner | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2010-07-27 |
| 1902122104 | Ann Johnson | Psychologist | 1720 Highway 59 S, Sanford Thief River Falls, Thief River Falls, MN 56701-4331 | 2010-04-13 |
| 1306078118 | Tulasi Kanukuntla | Psychiatry & Neurology | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2009-08-12 |
| 1164603460 | Desiree M Bertilrud | Nurse Practitioner | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2007-11-15 |
| 1962607143 | Sara L Rosendahl | Physician Assistant | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2007-06-18 |
| 1770635682 | Chandra S Gottipati | Family Medicine | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265885834 | Julia Nelson | Physical Therapist | 1511 Highway 59 S Ste A, Thief River Falls, MN 56701 | 2016-07-19 |
| 1326321167 | Achieve Therapy LLC | Physical Therapist | 201 Brooks Ave, Thief River Falls, MN 56701 | 2011-09-27 |
| 1841581121 | Kathleen G. Barry | Dietitian, Registered | 120 Labree Ave S, Thief River Falls, MN 56701 | 2011-04-21 |
| 1740437789 | Altra Care P A | Clinic/Center | 1140 Vanrooy Dr., Thief River Falls, MN 56701 | 2008-08-21 |
| 1255514477 | Terrence Robert Demars | Social Worker | Meritcare Northwest Medical Center, 120 Labree Ave S, Thief River Falls, MN 56701 | 2007-12-11 |
| 1437290970 | Donna B Helmich | Dentist | 318 La Bree Ave. North, Thief River Falls, MN 56701 | 2007-02-09 |
| 1528129160 | Great Plains Ems, Inc | Ambulance | 511 N Atlantic, Thief River Falls, MN 56701 | 2006-12-13 |
| 1609959022 | John Lloyd Seaverson | Dentist | 318 Labree Ave North, Thief River Falls, MN 56701 | 2006-10-21 |
| 1932280120 | Pennington Health Services | Skilled Nursing Facility | 130 Labree Avenue South, Thief River Falls, MN 56701 | 2006-10-17 |
| 1336232495 | Anderson Hearing Center Ltd | Audiologist | 302 3rd St E, Thief River Falls, MN 56701 | 2006-10-02 |
| Find all providers in zip 56701 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
| 1861895906 | Sanford Health Network North | Clinic/Center | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2014-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855162 | The Duluth Clinic Ltd | Clinic/Center | 1600 Miller Trunk Hwy Ste 1300, Duluth, MN 55811-5640 | 2020-06-16 |
| 1184250060 | Premise Health of Minnesota Medical P C | Clinic/Center | 1906 8th St Nw, Austin, MN 55912-2473 | 2020-03-23 |
| 1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1003478892 | The Duluth Clinic Ltd | Clinic/Center | 4289 Ugstad Rd, Hermantown, MN 55811-3615 | 2019-07-02 |
| 1073005856 | Arbor Integrative Behavioral Health | Clinic/Center | 1000 E 1st St Ste 105, Duluth, MN 55805-2297 | 2018-06-06 |
| 1427557867 | Gillette Children's Specialty Healthcare | Clinic/Center | 505 Paul Bunyan Dr Nw, Bemidji, MN 56601-2400 | 2018-02-11 |
| 1992224331 | Orthopedic & Sports Physical Therapy, Inc. | Clinic/Center | 322 N Tower Rd, Fergus Falls, MN 56537-1015 | 2017-09-18 |
| 1003339789 | Centracare Clinic | Clinic/Center | 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 | 2017-07-25 |
| 1063942977 | Deer River Healthcare Center Inc | Clinic/Center | 1542 Golf Course Rd Ste 202, Grand Rapids, MN 55744-3557 | 2017-06-13 |
| Find all providers with the same taxonomy | ||||
| City | THIEF RIVER FALLS |
| Zip Code | 56701 |
Please comment or provide details below to improve the information on SANFORD HEALTH NETWORK NORTH.
| 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.