Active NPI
Sanford Healthcare Accessories, LLC
- Durable Medical Equipment & Medical Supplies
- Luverne, MN
National Provider Identifier
1114524840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SANFORD HEALTHCARE ACCESSORIES, LLC
- Practice address
- 402 E Main St
Luverne, MN 56156-1904 - Phone
- (507) 283-1844
- Fax
- (507) 283-1809
- NPI assigned
- Oct 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony Lee Morrison
- Title
- VP, Revenue Cycle
- Phone
- (605) 328-8380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
402 E Main St
Luverne, MN 56156-1904
Mailing address
PO Box 9679
Fargo, ND 58106-9679
Phone (605) 328-4435
Other names 1
- Sanford Health Equip
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210201002635 | MN | DME Supplier - Medical Supply Company | 9234349440 | Practice locations: Luverne, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Sanford Health Equip | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Pneumatic Compression Dev… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Sanford Healthcare Accessories LLC
Other organizations with this tax ID 33
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Alexandria, MN
- NPI 1053884171
-
- Durable Medical Equipment & Medical Supplies
- Worthington, MN
- NPI 1144827197
-
- Durable Medical Equipment & Medical Supplies
- Windom, MN
- NPI 1407453459
-
- Durable Medical Equipment & Medical Supplies
- Bemidji, MN
- NPI 1487741765
-
- Durable Medical Equipment & Medical Supplies
- Thief River Falls, MN
- NPI 1902043540
-
- Durable Medical Equipment & Medical Supplies
- Detroit Lakes, MN
- NPI 1912657248
-
- Durable Medical Equipment & Medical Supplies
- Bemidji, MN
- NPI 1932456472
-
- Durable Medical Equipment & Medical Supplies
- Canby, MN
- NPI 1932706082
-
- Durable Medical Equipment & Medical Supplies
- Dickinson, ND
- NPI 1114815511
-
- Durable Medical Equipment & Medical Supplies
- Bismarck, ND
- NPI 1124363809
-
- Durable Medical Equipment & Medical Supplies
- Marshfield, WI
- NPI 1215881131
-
- Durable Medical Equipment & Medical Supplies
- Chamberlain, SD
- NPI 1306443403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620345600000",
"number": "1114524840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9679",
"city": "FARGO",
"state": "ND",
"postal_code": "581069679",
"telephone_number": "605-328-4435",
"fax_number": "605-328-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 E MAIN ST",
"city": "LUVERNE",
"state": "MN",
"postal_code": "561561904",
"telephone_number": "507-283-1844",
"fax_number": "507-283-1809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANFORD HEALTHCARE ACCESSORIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-06",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "VP, REVENUE CYCLE",
"authorized_official_telephone_number": "605-328-8380"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Sanford Health Equip",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Luverne, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.