Sawtooth Mountain Clinic, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAWTOOTH MOUNTAIN CLINIC, INC.

Practice address

513 5TH Ave W RM 201
Grand Marais, MN 55604-3017

Phone

(218) 387-2330

NPI assigned

Aug 27, 2020

Organization subpart

No

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

Authorized official

Name

Sue C Nordman

Title

Coo

Phone

(218) 387-2330

Specialties & licenses 1

Addresses

Tax ID family

Birch Grove Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sawtooth Mountain Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Grand Marais, MN
  • NPI 1306832894
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane-Marie Asay, MSW, LICSW

  • Clinical Social Worker
  • Grand Marais, MN
  • NPI 1619346772
  NPD
• Paul E Terrill, M.D.

  • Family Medicine Physician
  • Grand Marais, MN
  • NPI 1093784167
  NPD

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1497368633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 5TH AVE W RM 201",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556043017",
            "telephone_number": "218-387-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 5TH AVE W RM 201",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556043017",
            "telephone_number": "218-387-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWTOOTH MOUNTAIN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "NORDMAN",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "218-387-2330"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River of Life Rehab, LLC
• River of Life Rehab, LLC
• Michael Sampson, MD
• Sawtooth Chiropractic PC
• Sawtooth Mountain Clinic, Inc.
• Milan C Schmidt, MD
• Sarah Sigford
• Grace Sliwinska-Floe
• Mardon Ellen So
• Anna Sorensen, OTR/L

• Community/Retail Pharmacy in Grand Marais, MN
• Providers in Grand Marais, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.