SANFORD HEALTH OF NORTHERN MINNESOTA (NPI# 1427567601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427567601 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH OF NORTHERN MINNESOTA |
| Other Organization Name | SANFORD HEALTH BEHAVIORAL HEALTH HEADWATER ACT |
| Practice Address |
722 15th St Nw Bemidji MN 56601-2528 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 2187513289 |
| Practice Fax Number | 2187513298 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | Y |
| Parent Organization Name | SANFORD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sanford Health Behavioral Health Center | Doing Business As Name - Organization |
| Sanford Health Behavioral Health Headwater ACT | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 116 3rd St Nw, Bemidji, MN 56601 | 2184444429 | 2184445491 |
| 3124 Hannah Ave Nw, Bemidji, MN 566015625 | 2183332035 | 2184443212 |
| 1705 Anne St Nw, Bemidji, MN 566016151 | 2183332035 | 2184443212 |
| 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 |
722 15TH ST NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255431003 | Thomas Eugene Williams | Social Worker | 722 15th St Nw, Bemidji, MN 56601 | 2006-09-22 |
| 1639728280 | Trinity Kylyn Bergeron | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2019-09-06 |
| 1588145270 | Katlyn Bowman | Registered Nurse | 722 15th St Nw, Bemidji, MN 56601-2528 | 2018-08-22 |
| 1770099731 | Shawna Marie Burnham | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-12-28 |
| 1750819926 | Emily Celeste Barbot | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-31 |
| 1730616962 | Marlin George Farley | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
| 1114454345 | Rylie Dian Helweg | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
| 1033646260 | Christopher Lee Slough | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
| 1992239628 | Angela Rae Hiebsch | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-04-19 |
| 1114461258 | Anna Chock | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2016-12-08 |
| Find all providers in the same location | ||||
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465147 | Piece of Mind Counseling Services, Pllc | Clinic/Center | 1122 Bemidji Ave N, Bemidji, MN 56601-2833 | 2020-10-24 |
| 1013577030 | Northwoods Counseling Services Ltd | Clinic/Center | 481 Mag Seven Ct Sw Ste 3, Bemidji, MN 56601-4474 | 2019-06-20 |
| 1851990709 | Beevor Psychiatry Services, Inc. | Clinic/Center | 1526 30th St Nw, Bemidji, MN 56601-4140 | 2020-10-21 |
| 1689125437 | D Williams Inc | Clinic/Center | 522 Beltrami Ave Nw, Suite 116, Bemidji, MN 56601-3001 | 2016-10-17 |
| 1659746717 | Lindell Consulting, LLC | Clinic/Center | 702 5th St Nw, Bemidji, MN 56601-2976 | 2015-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698671 | St. Cloud Tms LLC | Clinic/Center | 925 E Superior St Ste 106, Duluth, MN 55802-2253 | 2020-10-30 |
| 1740880764 | East Metro Trauma and Recovery LLC | Clinic/Center | 4116 Hoffman Rd, White Bear Lake, MN 55110-3708 | 2020-10-28 |
| 1851991160 | Gratia Counseling & Consulting, LLC | Clinic/Center | 2705 Bunker Lake Blvd Nw Ste 103, Andover, MN 55304-3786 | 2020-10-27 |
| 1205433984 | Hopebridge Life Skills Center | Clinic/Center | 3617 E Lake St, Minneapolis, MN 55406-2148 | 2020-10-05 |
| 1275149007 | Clarity Counseling Services Pllc | Clinic/Center | 521 W Highway 2, Cohasset, MN 55721-2300 | 2020-09-17 |
| 1720693146 | Serene Therapy and Counseling Services LLC | Clinic/Center | 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 | 2020-09-11 |
| 1427662592 | Threesixty, LLC | Clinic/Center | 4960 Miller Trunk Hwy # 600-b, Hermantown, MN 55811-1891 | 2020-09-04 |
| 1124639190 | Woodhaven Wellness | Clinic/Center | 3000 Carriage Dr, Hamel, MN 55340-9597 | 2020-08-13 |
| 1245840735 | Kalina Counseling Services | Clinic/Center | 120 7th St Unit 101, Two Harbors, MN 55616-1563 | 2020-08-09 |
| 1912517392 | Mindful Moments Counseling, LLC | Clinic/Center | 1311 History Ct Nw, New Prague, MN 56071-2457 | 2020-07-31 |
| 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.