NPIMap

Organization Active NPI

Sanford Health Network

Doing business as Sanford Health Adrian Clinic

  • Rural Acute Care Hospital
  • Worthington, MN
National Provider Identifier
1679859912
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
350687 Issued in MN
Legal business name
SANFORD HEALTH NETWORK
Doing business as
Sanford Health Adrian Clinic
Sanford Worthington Clinic
Sanford Worthington Obstetrics & Gynecology Clinic1 more in Other names
Practice address
1018 6TH Ave
Worthington, MN 56187-2202
Phone
(507) 372-2941
NPI assigned
Nov 1, 2011
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SANFORD HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Tony Lee Morrison
Title
Vice President, Revenue Cycle
Phone
(605) 328-8380

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 350687 MN Primary
Nurse Practitioner 363L00000X 350687 MN
Family Medicine Physician 207Q00000X 350687 MN
Obstetrics & Gynecology Physician 207V00000X 350687 MN
Orthopaedic Surgery Physician 207X00000X 350687 MN
Pediatrics Physician 208000000X 350687 MN
Surgery Physician 208600000X 350687 MN

Addresses

Primary practice location

1018 6TH Ave
Worthington, MN 56187-2202

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

1680 Diagonal Rd
Worthington, MN 56187-1008
Phone (507) 372-3800

Other practice location 2

2042 Juniper Ave
Slayton, MN 56172-1017
Phone (507) 836-6153

Other practice location 3

201 Maine Ave
Adrian, MN 56110-1214
Phone (507) 483-2668

Other names 4

  • Sanford Health Adrian Clinic Doing business as
  • Sanford Worthington Clinic Doing business as
  • Sanford Worthington Obstetrics & Gynecology Clinic Doing business as
  • Sanford Worthington Orthopedics & Sports Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040715001116 MN Part B Supplier - Clinic/Group Practice 6800707100 Receives reassigned benefits from 308 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Windom, MN; Worthington, MN; Westbrook, MN; Walnut Grove, MN; Tracy, MN; Slayton, MN; Mountain Lake, MN; Lakefield, MN…
O20080818000521 MN Part A Provider - Hospital 6800707100 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Worthington, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679859912. Details of each certification follow.

Hospital certification: CCN 240022

Legal name
SANFORD HEALTH NETWORK
Doing business as
SANFORD WORTHINGTON MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 23, 2015
Beds
55 (48 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2008 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 15, 1985 in SD
Enrollment address
1018 6TH Ave
Worthington, MN 56187-2202
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
Sanford Worthington Medical CenterCCN 240022 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Olson Medical Clinic

Locations

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Allen Lundeen Individual Corporate DirectorBoard Member Dec 4, 2014
Marnie Lynn Ventling-Herrmann Individual Corporate DirectorBoard Member Jan 1, 2022
Tony Lee Morrison Individual Corporate Director Feb 1, 1991
W-2 Managing EmployeeVice President, Revenue Cycle Feb 1, 1991
James Edward Cain Individual Corporate DirectorBoard Member Nov 19, 2015
Karin Louise Dulski Individual W-2 Managing EmployeeDirector Nov 19, 2012
Brent Gerard Teiken Individual Corporate DirectorBoard Member Nov 1, 2012
Jolyn Joy Munson Individual W-2 Managing EmployeeSr. Director of PFS Jan 1, 2013
William D Marlette Individual Corporate OfficerCfo Jun 16, 2023
W-2 Managing EmployeeCfo Jun 16, 2023
Andrew Stewart North Individual Corporate DirectorBoard Member Jan 1, 2017
Stephanie Marie Swenson Individual W-2 Managing EmployeeDirector, Insurance Nov 1, 2019
William Joseph Gassen Individual Corporate OfficerPresident and Ceo Nov 24, 2020
Corporate DirectorPresident and Ceo Nov 24, 2020
W-2 Managing EmployeePresident and Ceo Nov 24, 2020
Wesley Owen Engbrecht Individual Corporate DirectorBoard Member Jan 1, 2021
Sanford Organization, Fargo, ND Non-profit 5% Or Greater Indirect Ownership Interest Nov 2, 2009 100%
Donald Darwin Jacobs Individual Corporate DirectorBoard Member Dec 4, 2014
Sanford Health Organization, Sioux Falls, SD Non-profit 5% Or Greater Direct Ownership Interest Aug 10, 2007 100%
Neil Leslie Gulsvig Individual Corporate DirectorBoard Member Mar 28, 2019
Lauris Nelson Molbert Individual Corporate DirectorBoard Member Jan 1, 2021

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

Affiliated clinicians 250

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 250

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1679859912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 6TH AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872202",
            "telephone_number": "507-372-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 Diagonal Rd",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "MN",
            "postal_code": "561871008",
            "country_code": "US",
            "telephone_number": "507-372-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2042 Juniper Ave",
            "address_purpose": "LOCATION",
            "city": "Slayton",
            "state": "MN",
            "postal_code": "561721017",
            "country_code": "US",
            "telephone_number": "507-836-6153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Maine Ave",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MN",
            "postal_code": "561101214",
            "country_code": "US",
            "telephone_number": "507-483-2668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANFORD HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANFORD HEALTH NETWORK",
        "enumeration_date": "2011-11-01",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "605-328-8380"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "MN",
            "license": "350687",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "350687",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "350687",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "350687",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "350687",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "350687",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "350687",
            "primary": false
        }
    ],
    "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",
            "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 Adrian Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Worthington Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Worthington Obstetrics & Gynecology Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Worthington Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, MN

Sources for this page

Verify at the official NPI Registry.