MEDICARE: SANFORD HEALTH OF NORTHERN MINNESOTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1014013	OTHER		PREFERRED ONE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3Z05NO	OTHER	MN	BLUE CROSS BLUE SHIELD MN
4	5025411	OTHER		MEDICA

General Provider Information

NPI Number	:	1730292178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANFORD HEALTH OF NORTHERN MINNESOTA

Provider Business Mailing Address
First Line	:	PO BOX 5074
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5074
Country	:	US
Telephone Number	:	605-328-6585
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 PINE RIDGE AVE NW
Second Line	:	SUITE A
City	:	BEMIDJI
State	:	MN
Zip	:	56601-5101
Country	:	US
Telephone Number	:	218-333-5665
Fax Number	:	218-333-5642

Authorized Official
Title or Position	:	VICE PRESIDENT, REVENUE CYCLE
Name	:	TONY LEE MORRISON
Credential	:
Telephone Number	:	605-328-8380

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	11/27/2023

Similar Medicare Providers

1215043633 — SANFORD HEALTH OF NORTHERN MINNESOTA
Practice Location Address:

3201 PINE RIDGE AVE NW , SUITE A
BEMIDJI, MN
56601-5101

Practice Phone: 218-333-5665
Practice Fax: 218-333-5642

1801532544 — MR. AADIL AMIN RAJWANI MB BCH BAO
Practice Location Address:

1300 ANNE ST NW
BEMIDJI, MN
56601-5103

Practice Phone: 218-333-5000
Practice Fax:

1659710887 — JESSICA WILLIAMS APN
Practice Location Address:

1233 34TH ST NW
BEMIDJI, MN
56601-5112

Practice Phone: 218-333-5000
Practice Fax:

1750888475 — MELODY LYNN GORDEN MSW LICSW
Practice Location Address:

112 1ST ST W
BEMIDJI, MN
56601-4002

Practice Phone: 218-888-8032
Practice Fax: 218-888-8033

1952266041 — HORN HEALTH PLLC
Practice Location Address:

2300 24TH ST NW STE 107
BEMIDJI, MN
56601-6379

Practice Phone: 218-358-1018
Practice Fax:

1427281583 — DEREK DAVID CZYWCZYNSKI O.D.
Practice Location Address:

2819 FOREST VIEW DR NE
BEMIDJI, MN
56601-9145

Practice Phone: 701-516-2115
Practice Fax:

Directions to “SANFORD HEALTH OF NORTHERN MINNESOTA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.