NPIMap

Organization Active NPI

Sanford Medical Center Thief River Falls

Doing business as Sanford Thief River Falls

  • Institutional Pharmacy
  • Thief River Falls, MN
National Provider Identifier
1063564144
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
200306-3 Issued in MN
Legal business name
SANFORD MEDICAL CENTER THIEF RIVER FALLS
Doing business as
Sanford Thief River Falls
Practice address
120 Labree Ave S
Thief River Falls, MN 56701-2819
Phone
(218) 681-4240
Fax
(218) 683-4512
NPI assigned
Jan 17, 2007
Last updated
Jul 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hannah Shirkey
Title
Cfo
Phone
(218) 683-4497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 200306-3 MN Primary

Addresses

Primary practice location

120 Labree Ave S
Thief River Falls, MN 56701-2819

Mailing address

120 Labree Ave S
Thief River Falls, MN 56701-2819
Phone (218) 681-4240

Other identifiers 1

IdentifierTypeStateIssuer
2412245OtherMNNCPDP NUMBER

Other names 1

  • Sanford Thief River Falls Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Medical CNTR3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1063564144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LABREE AVE S",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012819",
            "telephone_number": "218-681-4240",
            "fax_number": "218-683-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LABREE AVE S",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012819",
            "telephone_number": "218-681-4240",
            "fax_number": "218-683-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD MEDICAL CENTER THIEF RIVER FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIRKEY",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-683-4497"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MN",
            "license": "200306-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "2412245",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Thief River Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thief River Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.