Sanford Health Network
Organization Active NPI Rural Health Clinic/Center · Windom, MN
NPI 1699772178 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1699772178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- SANFORD HEALTH NETWORK
- Practice address
- 2170 Hospital Dr Ste 1
Windom, MN 56101-1287 - Phone
- (507) 831-2223
- Fax
- (507) 831-0135
- NPI assigned
- Jun 30, 2005
- Reactivated
- Mar 4, 2022
- Organization subpart
- No
Authorized official
- Name
- Tony Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8307
Other NPIs on the same Medicare enrollment 15
Corporate family (same tax ID) 48
Member of 1
Practitioners 15
-
Brittany Nichole Larson, CNP, FNP-BC
-
Gavin J Maurer, MD
-
Yvonne Seger Oppold, M.D.
-
Kayla Pineda, NP-C
-
Andrew J Birr, MD
-
Jason Domagalski, PA
-
Worku Metaferia, FNP-BC
-
Angela Kay Nolz, MS, LPC, NCC, CDCT
-
Tamara Rae Norling, PA-C
-
Jared Phelps, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Tax ID family
- Sioux Valley Vermillion
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
2170 Hospital Dr Ste 1
Windom, MN 56101-1287
Mailing address
2170 Hospital Dr Ste 1
Windom, MN 56101-1287
Phone (507) 831-2223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 842958800 | Medicaid | MN |
Other names
- Sanford Clinic Windom
Other providers in Windom, MN
- David R Rupp
- Rural Health Care, Inc
- Joshua Michial Sammons
- Allison Grace Sandbeck
- Sanford Clinic
- Sanford Health Network
- Sanford Healthcare Accessories, LLC
- Sanford Home Health
- Miranda Schunk
- Michelle Seberson
All providers in Windom, MN · Rural Health Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.