SANFORD HEALTH OF NORTHERN MINNESOTA (NPI# 1730292178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730292178 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH OF NORTHERN MINNESOTA |
| Other Organization Name | SANFORD BEMIDJI HOSPICE |
| Practice Address |
3201 Pine Ridge Ave Nw Suite A Bemidji MN 56601-5101 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 2183335665 |
| Practice Fax Number | 2183335642 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-07-06 |
| 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 |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD MN | 3Z05NO | 01 |
| MN | 890713700 | 05 | |
| MEDICA | 5025411 | 01 | |
| PREFERRED ONE | 1014013 | 01 |
| Other Name | Type Code |
|---|---|
| Sanford Bemidji Hospice | 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 |
| 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 |
3201 PINE RIDGE AVE NW SUITE A |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700410115 | Amber Lynn Wendorff | Nurse Practitioner | 3201 Pine Ridge Ave Nw, Bemidji, MN 56601-5101 | 2020-02-24 |
| 1215043633 | Sanford Health of Northern Minnesota | Home Health | 3201 Pine Ridge Ave Nw, Suite A, Bemidji, MN 56601-5101 | 2006-08-21 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350379 | Minnesota Care Services LLC | Hospice Care, Community Based | 2447 County Road B W Apt 1, Roseville, MN 55113-3867 | 2020-06-14 |
| 1922628700 | Brian Phillip St John | Hospice Care, Community Based | 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 | 2020-04-21 |
| 1114576279 | Moments Hospice of Duluth LLC | Hospice Care, Community Based | 4897 Miller Trunk Hwy Ste 220, Hermantown, MN 55811-1936 | 2019-09-10 |
| 1770142762 | St Croix Hospice LLC | Hospice Care, Community Based | 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 | 2019-06-12 |
| 1619536620 | St Croix Hospice LLC | Hospice Care, Community Based | 17645 Juniper Path Ste 155, Lakeville, MN 55044-7577 | 2019-06-12 |
| 1073177986 | Hospice of Minnesota, LLC | Hospice Care, Community Based | 404 W Superior St Ste 290, Duluth, MN 55802-1504 | 2019-04-25 |
| 1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
| 1376008441 | Moments Hospice of Rochester LLC | Hospice Care, Community Based | 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 | 2019-02-04 |
| 1366907446 | Moments Hospice of St Cloud LLC | Hospice Care, Community Based | 1030 4th St Se Ste 108, Saint Cloud, MN 56304-1217 | 2019-02-04 |
| 1174005953 | Carris Health - Redwood LLC | Hospice Care, Community Based | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| 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.