Sanford Health of Northern Minnesota
Organization Active NPI Community/Retail Pharmacy · Bemidji, MN
NPI 1477042372 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1477042372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- SANFORD HEALTH OF NORTHERN MINNESOTA
- Practice address
- 1611 Anne St NW
Bemidji, MN 56601-5114 - Phone
- (218) 333-2450
- NPI assigned
- May 7, 2018
- Organization subpart
- No
Authorized official
- Name
- Tony Lee Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8380
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- North Country Health SE
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1611 Anne St NW
Bemidji, MN 56601-5114
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2430154 | Other | NCPDP |
Other names
- Sanford Pharmacy 1611 Anne St
- Sanford Pharmacy 1611 Anne St 340B
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Bemidji, MN
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
- Sanford Health of Northern Minnesota
All providers in Bemidji, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.