SANFORD HEALTH NETWORK NPI 1568469039

NPI Information

  • NPI: 1568469039
  • Provider Name: SANFORD HEALTH NETWORK
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: SANFORD CLINIC MOUNTAIN LAKE
  • CLIA Number: 24D0405271
  • Address: 308 8TH ST N
    MOUNTAIN LAKE, MN
    ZIP 56159
  • Phone: (507) 427-3332

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NPI Details

SANFORD HEALTH NETWORK is a rural health clinic center in Mountain Lake, MN. SANFORD HEALTH NETWORK NPI is 1568469039. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford Clinic Mountain Lake.

The provider's business location address is:

308 8TH ST N
MOUNTAIN LAKE, MN
ZIP 56159-568
Phone: (507) 427-3332
Fax: (507) 427-2493

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The CLIA number assigned to this NPI record is 24D0405271 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 11/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1958132400MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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