SANFORD HEALTH NETWORK NORTH (NPI# 1760737670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760737670 |
Entity Type | Organization |
Organization Name | SANFORD HEALTH NETWORK NORTH |
Other Organization Name | SANFORD WHEATON |
Practice Address |
401 12th St N Wheaton MN 56296-1070 |
Practice Telephone | 3205638971 |
Mailing Telephone | 3205638971 |
Enumeration Date | 2012-07-17 |
Last Update Date | 2019-11-15 |
Authorized Official Name | MARTHA K LECLERC (VICE PRESIDENT) |
Authorized Official Telephone | 7012346248 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sanford Wheaton | Doing Business As 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 |
1386047355 | Sanford Health Network North | Clinical Neuropsychologist | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2014-10-03 |
1861895906 | Sanford Health Network North | Clinic/Center | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2014-10-03 |
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 |
401 12TH ST N |
City | WHEATON |
State | MN |
Zip Code | 56296-1070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326045253 | City of Wheaton | General Acute Care Hospital | 401 12th St N, Wheaton, MN 56296-1070 | 2005-07-07 |
1821646704 | Nancy Marie Teravskis | Occupational Therapist | 401 12th St N, Wheaton, MN 56296-1070 | 2019-09-03 |
1609343896 | Paige Elizabeth Jenson | Physician Assistant | 401 12th St N, Wheaton, MN 56296-1070 | 2018-10-26 |
1063706489 | Sanford Health Network North | Medicare Defined Swing Bed Unit | 401 12th St N, Wheaton, MN 56296-1070 | 2011-06-02 |
1154615573 | Sanford Health Network North | Ambulance | 401 12th St N, Wheaton, MN 56296-1070 | 2011-06-02 |
1245524669 | Sanford Health Network North | Clinic/Center | 401 12th St N, Wheaton, MN 56296-1070 | 2011-06-02 |
1477872703 | Meritcare Wheaton Medical Center | Pharmacy | 401 12th St N, Wheaton, MN 56296-1070 | 2010-05-26 |
1922287127 | City of Wheaton | Clinic/Center | 401 12th St N, Wheaton, MN 56296-1070 | 2007-10-24 |
1457540783 | George H Kuzma | Family Medicine | 401 12th St N, Wheaton, MN 56296-1070 | 2007-10-23 |
1396950960 | City of Wheaton | Medicare Defined Swing Bed Unit | 401 12th St N, Wheaton, MN 56296-1070 | 2007-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124222815 | Traverse County Social Services | Public Health or Welfare | 202 8th Street North, Wheaton, MN 56296 | 2007-06-14 |
1649491275 | Jill M Lemke | Occupational Therapist | 1205 5th Ave. N., Wheaton, MN 56296 | 2007-05-01 |
1710961495 | Michael Robert Marchetti | Dentist | 1511 Broadway, Box 84, Wheaton, MN 56296-1040 | 2005-12-06 |
1043458466 | Prairie Acupuncture and Natural Healing Center, Inc. | Clinic/Center | 1502 Broadway, Wheaton, MN 56296-1041 | 2009-01-22 |
1619915543 | Fergus Falls Medical Group, P.a. | Clinic/Center | 403 12th St N, Wheaton, MN 56296-1070 | 2006-06-03 |
1851589634 | Traverse Care Center - Wheaton Community Hospital Jpa | Home Health | 403 12th St N, Wheaton, MN 56296-1070 | 2007-10-05 |
1891724712 | Ranney Furniture and Funeral, Inc. | Durable Medical Equipment & Medical Supplies | 102 10th St N, Wheaton, MN 56296-1236 | 2006-07-02 |
1477720795 | Conroy Eye Care PC | Optometrist | 1011 Broadway, Wheaton, MN 56296-1303 | 2008-05-15 |
1710099718 | Wheaton Drug Comapny | Pharmacy | 1105 Broadway, Wheaton, MN 56296-1307 | 2006-08-31 |
1497298954 | Dozak Drug LLC | Pharmacy | 1105 Broadway, Wheaton, MN 56296-1307 | 2016-11-30 |
Find all providers in zip 56296 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245524669 | Sanford Health Network North | Clinic/Center | 401 12th St N, Wheaton, MN 56296-1070 | 2011-06-02 |
1922287127 | City of Wheaton | Clinic/Center | 401 12th St N, Wheaton, MN 56296-1070 | 2007-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
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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.