Sanford Health Network North
Organization Active NPI Critical Access Hospital · Wheaton, MN
NPI 1154615573 · NPPES record last updated Jul 25, 2025
Key facts
- NPI
- 1154615573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- SANFORD HEALTH NETWORK NORTH
- Practice address
- 401 12TH St N
Wheaton, MN 56296-1070 - Phone
- (320) 563-8971
- NPI assigned
- Jun 2, 2011
- Organization subpart
- No
Authorized official
- Name
- Tony Lee Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8380
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 13
Member of 1
Related certifications (CCN) 2
Facilities with the same owner 31
Practitioners 115
-
Kaylee Miller, DPM
-
Joeanna L Aasen, APRN, CNP, DNP
-
Utkucan Acar, MD, MMSC
-
Abbey L Anderson, FNP-C
-
Trent A Barstad, PHD, LP
-
Anna M Barth, MSW, LICSW
-
Brittney Leigh Bimler, LICSW
-
Leah Bryan, MD, MSC
-
Eileen M Channel, CRNA
-
Natasha S. Cook, RN, CRNA
-
Dawn Marie Ellis, LICSW, LADC
-
Angelica Erickson, MS, LPCC, ATR
-
Helia Farrokhzad, M.D.
-
Karen Mae Golombecki, PSYD, LP
-
Sarah Omar Modawi Hamad, M.D.
-
Christine Hanson, APRN, PMHNP-BC
-
Samantha Jean Hulst, CNP
Affiliated clinicians 37
-
Aaron J Balgaard, M.D.
-
Leah Bryan, MD, MSC
-
Sarah Fischer, MD
-
Kathi Jo Kremer, C.F.N.P.
-
Kaylee Miller, DPM
-
Michelle Barbara Rinke, C.F.N.P.
-
Hassan Bin Attique, M.D.
-
Jason Balvitsch, PA-C
-
Ismail Loai Bekdash, M.D.
-
Megan J Biegler, PA-C
-
Daniel W Dahl, MD
-
Taylor F Dowsley, M.D.
-
Patrick E Emery, MD
-
Angela Kay Gaikowski, NP-C
-
Mark Mutuota Gitau, M.D.
-
Jeffrey Scott Hedlund, PA-C
-
Courtney Kay John, FNP-C, RN
Medicare Care Compare: Hospital
- Listed as
- Sanford Wheaton Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Hospital certification: CCN 241304
- Legal name
- SANFORD HEALTH NETWORK NORTH
- Doing business as
- SANFORD WHEATON MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jul 1, 2000
- Last certification
- Jun 5, 2024
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jul 1, 2011 (2 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 1, 2018 in ND
- Enrollment address
- 401 12TH St N
Wheaton, MN 56296-1070
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Allen Lundeen |
Corporate Director |
Dec 4, 2014 | |
| Marnie Lynn Ventling-Herrmann |
Corporate Officer |
Jan 1, 2024 | |
| Corporate Director |
Jan 1, 2022 | ||
| Tony Lee Morrison |
W-2 Managing Employee |
Jan 19, 2020 | |
| Brent Gerard Teiken |
Corporate Director |
Jul 3, 2012 | |
| Susan Drake Jarvis |
Corporate Officer |
Jan 1, 2023 | |
| W-2 Managing Employee |
Jan 1, 2023 | ||
| Kristin Kaye Herrmann |
W-2 Managing Employee |
Apr 24, 2022 | |
| Jolyn Joy Munson |
W-2 Managing Employee |
Apr 17, 2025 | |
| Dana James Dykhouse |
Corporate Director |
Jan 1, 2024 | |
| Andrew Stewart North |
Corporate Officer |
Jan 1, 2020 | |
| Corporate Director |
Jan 1, 2017 | ||
| Stephanie Marie Herseth Sandlin |
Corporate Director |
Jan 1, 2024 | |
| William Joseph Gassen |
Corporate Officer |
Nov 24, 2020 | |
| Corporate Director |
Nov 24, 2020 | ||
| Douglas Marlin Griffin |
W-2 Managing Employee |
Sep 25, 2022 | |
| George Joseph Brown |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2025 | ||
| Wesley Owen Engbrecht |
Corporate Director |
Jan 1, 2021 | |
| Maureen Patricia McCausland |
Corporate Director |
Jan 1, 2025 | |
| Sanford |
5% Or Greater Indirect Ownership Interest | Jul 20, 2010 | 100% |
| Operational/Managerial Control | Jan 1, 2017 | ||
| Thomas Richard Wenzel |
Corporate Director |
Jan 1, 2025 | |
| David Jonathan Shulkin |
Corporate Director |
Jan 1, 2024 | |
| Neil Leslie Gulsvig |
Corporate Director |
Mar 28, 2019 | |
| Kevin Victor Schieffer |
Corporate Director |
Jan 1, 2025 | |
| Lauris Nelson Molbert |
Corporate Officer |
Jan 1, 2024 | |
| Corporate Director |
Jan 1, 2021 | ||
| Nicholas Wayne Olson |
W-2 Managing Employee | Apr 8, 2024 | |
| Sanford North |
5% Or Greater Direct Ownership Interest | Mar 1, 2011 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180221003049 | MN | Part a Provider - Critical Access Hospital | 8022206663 |
Receives reassigned benefits from 1 practitioner Practice locations: Wheaton, MN |
National Provider Directory
- Tax ID family
- Sanford Health Network North
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes | ||
| Ambulance | 341600000X |
Addresses
Primary practice location
401 12TH St N
Wheaton, MN 56296-1070
Mailing address
PO Box 2168
Fargo, ND 58107-2168
Phone (701) 234-2119
Other names
- Sanford Wheaton Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Wheaton, MN
- Mary Peyton
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- Ranney Furniture and Funeral, Inc.
- Michelle Barbara Rinke
- Sanford Health Network North
- Sanford Health Network North
- Sanford Health Network North
- Austin T Stueve
- Nancy Marie Teravskis
- Elizabeth Nicole Thelin
All providers in Wheaton, MN · Critical Access Hospital in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.