NPI 1386047355 · live from the CMS NPI Registry
Sanford Health Network North
Clinic/Center, Multi-Specialty in Thief River Falls, MN. National Provider Identifier 1386047355, active.
NPI record
| NPI | 1386047355 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Multi-Specialty 261QM1300X |
| Practice location | 1720 Highway 59 S, Thief River Falls, MN 56701 |
| Practice phone | 218-681-4747 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | October 3, 2014 |
| Last updated | November 27, 2023 |
| Authorized official | Tony Morrison, Vice President, Revenue Cycle |
| Other names | Sanford Health Southeast Campus; Sanford Health Thief River Falls Eye Center & Optical |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | — |
| Optometrist | 152W00000X | — |
| Allergy & Immunology | 207K00000X | — |
| Dermatology | 207N00000X | — |
| Ophthalmology | 207W00000X | — |
| Audiologist | 231H00000X | — |
| Clinic/Center, Multi-Specialty primary | 261QM1300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.