Sanford Health of Northern Minnesota

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SANFORD HEALTH OF NORTHERN MINNESOTA

Doing business as

Joe Lueken Cancer Center
Sanford Bagley Clinic
Sanford Bagley Eye Center & Optical21 more in Other names

Practice address

1233 34TH St NW
Bemidji, MN 56601-5112

Phone

(218) 333-5000

Fax

(218) 333-5360

NPI assigned

Jun 16, 2006

Last updated

May 8, 2026By the provider in NPPES

Organization subpart

No

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 8

Addresses

Other names 24

• Joe Lueken Cancer Center Doing business as
• Sanford Bagley Clinic Doing business as
• Sanford Bagley Eye Center & Optical Doing business as
• Sanford Bemidji 1611 Anne St Clinic Doing business as
• Sanford Bemidji 1611 Eye Center & Optical Doing business as
• Sanford Bemidji 1705 Ann St Clinic Doing business as
• Sanford Bemidji 1705 Anne St Clinic Doing business as
• Sanford Bemidji Behavioral Health Doing business as
• Sanford Bemidji Blackduck Clinic Doing business as
• Sanford Bemidji Cass Lake Clinic Doing business as
• Sanford Bemidji Downtown Eye Center & Optical Doing business as
• Sanford Bemidji Main Clinic Doing business as
• Sanford Bemidji Main Clinic Outreach for Cook Doing business as
• Sanford Bemidji Main Clinic Outreach to Neilson Place Doing business as
• Sanford Bemidji Orthopedic and Sports Medicine Center Doing business as
• Sanford Bemidji Sleep Center Doing business as
• Sanford Health Baudette Eye Center & Optical Doing business as
• Sanford Health Behavioral Health Administration Office Doing business as
• Sanford Health Behavioral Health Headwaters ACT Doing business as
• Sanford Health International Falls Eye Center & Optical Doing business as
• Sanford Health Park Rapids Behavioral Health Center Doing business as
• Sanford Health Park Rapids Clinic Doing business as
• Sanford Health Thief River Falls Eye Center & Optical Doing business as
• Sanford Health Walker Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN, TX, OH, ND, MI, SD, GA, IA, WI, MO, MT, LA14 enrollments

Enrollment records 14

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780628149. Details of each certification follow.

• CCN 240100 Hospital · Active · Details

Hospital certification: CCN 240100

Legal name

SANFORD HEALTH OF NORTHERN MINNESOTA

Doing business as

SANFORD BEMIDJI MEDICAL CENTER

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Mar 6, 2015

Beds

118

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Enrollment address

1300 Anne St NW
Bemidji, MN 56601-5103
Main/Primary Hospital Location

Hospital subgroups

Acute care

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Behavioral Health

  • Psychiatric Hospital Unit
  • Bemidji, MN
  • NPI 1649902370
  Provider of Services

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sanford Health of Northern Minnesota

  dba Sanford Health Occupational Medicine Clinic

  • Occupational Medicine Physician
  • Bemidji, MN
  • NPI 1023496155

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Sanford Pharmacy 1611 Anne St

  • Pharmacy
  • Bemidji, MN
  • NPI 1083933824

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Sanford Health 1611 Eye Center & Optical

  • Ophthalmology Physician
  • Bemidji, MN
  • NPI 1154587780

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Infusion Pharmacy

  • Community/Retail Pharmacy
  • Bemidji, MN
  • NPI 1184728743

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Home Care

  • Home Health Agency
  • Bemidji, MN
  • NPI 1215043633

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Sanford Health International Falls Eye Center & Optical

  • Eyewear Supplier
  • International Falls, MN
  • NPI 1285028878

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Sanford Health Behavioral Health Administration Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bemidji, MN
  • NPI 1427567601

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Sanford Bagley Clearbrook Clinic

  • Rural Health Clinic/Center
  • Clearbrook, MN
  • NPI 1457624272

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Sanford Laboratories

  • Clinical Medical Laboratory
  • Bemidji, MN
  • NPI 1508922758

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Behavioral Health

  • Psychiatric Hospital Unit
  • Bemidji, MN
  • NPI 1649902370

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Neilson Place

  • Skilled Nursing Facility
  • Bemidji, MN
  • NPI 1659376663

  5597725168

  Same PAC ID
• Sanford Health of Northern Minnesota

  dba Sanford Pharmacy Bemidji

  • Clinic Pharmacy
  • Bemidji, MN
  • NPI 1679677124

  5597725168

  Same PAC ID

Other NPIs on the same Medicare enrollment 13

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

• North Country Health Services

  dba North Country Regional Hospital

  • Internal Medicine Physician
  • Bemidji, MN
  • NPI 1417006255

  O20041025000442

  Same enrollment
• Sanford Health of Northern Minnesota

  dba Sanford Health International Falls Eye Clinic

  • Eyewear Supplier
  • International Falls, MN
  • NPI 1013334457

  O20041025000442

  Same enrollment
• Sanford Health of Northern Minnesota

  dba Sanford Health Primewest Residential Support Center

  • Mental Illness Community Based Residential Treatment Facility
  • Bemidji, MN
  • NPI 1093278764

  O20041025000442

  Same enrollment
• Sanford Health of Northern Minnesota

  dba Sanford Bagley Eye Center & Optical

  • Optometrist
  • Fosston, MN
  • NPI 1265829881

  O20150602000945

  Same enrollment
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji

  • Certified Registered Nurse Anesthetist
  • Bemidji, MN
  • NPI 1285708438

  O20041025000442

  Same enrollment
• Sanford Health of Northern Minnesota

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bemidji, MN
  • NPI 1376617522

  O20041025000442

  Same enrollment
• Sanford Health of Northern Minnesota

  dba Sanford Health Behavioral Health Administration Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bemidji, MN
  • NPI 1427567601

  O20041025000442, O20240523001013

  Same enrollment
• Sanford Health of Northern Minnesota

  dba Sanford Bagley Clearbrook Clinic

  • Rural Health Clinic/Center
  • Clearbrook, MN
  • NPI 1457624272

  O20041025000442

  Same enrollment
• Sanford Health of Northern Minnesota

  dba Sanford Health Kelliher Clinic

  • Family Medicine Physician
  • Kelliher, MN
  • NPI 1770849697

  O20041025000442

  Same enrollment
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Medical Center

  • Rural Acute Care Hospital
  • Bemidji, MN
  • NPI 1801870191

  O20041026001020

  Same enrollment
• Sanford Health of Northern Minnesota

  dba Sanford Health Walker Rehab Services

  • Physical Therapy Clinic/Center
  • Walker, MN
  • NPI 1902261456

  O20041025000442

  Same enrollment
• Sanford Health of Northern Minnesota

  dba Sanford Bagley Medical Center

  • Critical Access Hospital
  • Bagley, MN
  • NPI 1932472255

  O20041025000442

  Same enrollment

Listed as

Sanford Bemidji Medical CenterCCN 240100 · 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

Locations

All disclosed owners & managing parties 24

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jason Joseph Caron, MD

  • Orthopaedic Surgery Physician
  • Bemidji, MN
  • NPI 1114070182

  W-2 Managing Employee

  CMS ownership
• Daniel George Hoody, MD

  • Hospitalist Physician
  • Bemidji, MN
  • NPI 1871766923

  W-2 Managing Employee

  CMS ownership

Practitioners 613

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.

• Lauren Bradel, PHD, LP

  • Psychologist
  • Bemidji, MN
  • NPI 1053044842
  Medicare reassignment Care Compare group NPD
• Derek David Czywczynski, O.D.

  • Optometrist
  • Bemidji, MN
  • NPI 1427281583

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Lindsey Rae Moe, LPCC

  • Counselor
  • Bemidji, MN
  • NPI 1972006336
  Medicare reassignment Care Compare group NPD
• Sanggyu Bae, MD

  • Hematology & Oncology Physician
  • Bemidji, MN
  • NPI 1831485077

  IA, Internal Medicine

  Medicare reassignment NPD
• Emmalee Elaine Bardwell, O.D.

  • Optometrist
  • Bemidji, MN
  • NPI 1992483648
  Medicare reassignment NPD
• Emy Lou Carlson, MS, NCC, LPC

  • Professional Counselor
  • Bemidji, MN
  • NPI 1134633670

  SD

  Medicare reassignment NPD
• Germaine E Cheslock, O.D.

  • Optometrist
  • Bemidji, MN
  • NPI 1154468890
  Medicare reassignment NPD
• Staci Lynn Collison

  • Optometrist
  • Bemidji, MN
  • NPI 1588949648
  Medicare reassignment NPD
• Sara A Fredrickson, OD

  • Optometrist
  • Bemidji, MN
  • NPI 1407880057
  Medicare reassignment NPD
• Alicia V. Holley, LPCC, ATR-BC

  • Professional Counselor
  • Bemidji, MN
  • NPI 1144437575
  Medicare reassignment NPD
• Erin Elise Krause

  • Clinical Social Worker
  • Bemidji, MN
  • NPI 1588306732
  Medicare reassignment NPD
• Kelly D Pruett, APN

  • Nurse Practitioner
  • Bemidji, MN
  • NPI 1336217900
  Medicare reassignment NPD

Affiliated clinicians 484

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

• Sameena Ahmed-Buehler, MD

  • Family Medicine Physician
  • Cass Lake, MN
  • NPI 1386273043

  Hospital

  Care Compare affiliation
• Yauheni Aleksandrovich, MD

  • Hospitalist Physician
  • Bemidji, MN
  • NPI 1417591975
  Care Compare affiliation
• Paul C Allegra, MD

  • Emergency Medicine Physician
  • Zimmerman, MN
  • NPI 1013030097

  Hospital

  Care Compare affiliation
• Randall Jay Ambroz, M.D.

  • Diagnostic Radiology Physician
  • Rochester, MN
  • NPI 1174939300

  Hospital

  Care Compare affiliation
• Kris Caroll Anderson, MD

  • Internal Medicine Physician
  • Bemidji, MN
  • NPI 1558389296

  Hospital

  Care Compare affiliation
• Susan Lynn Anderson, NP

  • Family Nurse Practitioner
  • Blackduck, MN
  • NPI 1437171022

  Hospital

  Care Compare affiliation
• Roland J Armstrong, MD

  • Obstetrics & Gynecology Physician
  • Bemidji, MN
  • NPI 1265450969

  Hospital

  Care Compare affiliation
• Jonas Attilus, MD

  • Psychiatry Physician
  • Bemidji, MN
  • NPI 1942836820

  Hospital

  Care Compare affiliation
• Ethan Axtman

  • Nurse Practitioner
  • Bemidji, MN
  • NPI 1407419419

  Hospital

  Care Compare affiliation
• Tiffany Alicia Axtman

  • Nurse Practitioner
  • Bemidji, MN
  • NPI 1699397042

  Hospital

  Care Compare affiliation
• Mohammed Azeemuddin, APRN, CNP

  • Family Nurse Practitioner
  • Baxter, MN
  • NPI 1144693169

  Hospital

  Care Compare affiliation
• Alexandra Patricia Bader, MD

  • Obstetrics & Gynecology Physician
  • Bemidji, MN
  • NPI 1700349065

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1780628149",
    "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": "605-328-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 34TH ST NW",
            "city": "BEMIDJI",
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            "postal_code": "566015112",
            "telephone_number": "218-333-5000",
            "fax_number": "218-333-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 Aspenway",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558109733",
            "country_code": "US",
            "telephone_number": "218-333-5000",
            "fax_number": "218-333-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Highway 59 S",
            "address_purpose": "LOCATION",
            "city": "Thief River Falls",
            "state": "MN",
            "postal_code": "567014331",
            "country_code": "US",
            "telephone_number": "218-683-3937",
            "fax_number": "218-683-2699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 3rd St NW",
            "address_purpose": "LOCATION",
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            "postal_code": "566013102",
            "country_code": "US",
            "telephone_number": "218-333-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 7th St W",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564701872",
            "country_code": "US",
            "telephone_number": "218-699-3121",
            "fax_number": "218-699-3995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Hollinger St",
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            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564701300",
            "country_code": "US",
            "telephone_number": "218-252-6608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Anne St NW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566015109",
            "country_code": "US",
            "telephone_number": "218-751-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1705 Anne St NW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566016151",
            "country_code": "US",
            "telephone_number": "218-333-5000",
            "fax_number": "218-333-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Coney St W",
            "address_purpose": "LOCATION",
            "city": "Perham",
            "state": "MN",
            "postal_code": "565732102",
            "country_code": "US",
            "telephone_number": "218-347-1200",
            "fax_number": "218-347-1290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 Beltrami Ave NW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566013010",
            "country_code": "US",
            "telephone_number": "218-751-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1656 Central St W",
            "address_purpose": "LOCATION",
            "city": "Bagley",
            "state": "MN",
            "postal_code": "566214357",
            "country_code": "US",
            "telephone_number": "218-694-2384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 1st St NW",
            "address_purpose": "LOCATION",
            "city": "Blackduck",
            "state": "MN",
            "postal_code": "566302228",
            "country_code": "US",
            "telephone_number": "218-835-4222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Broadway N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581023641",
            "country_code": "US",
            "telephone_number": "701-234-2000",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1611 Anne St NW",
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            "postal_code": "566015114",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4179 8th St SW",
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            "city": "Backus",
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            "postal_code": "564352340",
            "country_code": "US",
            "telephone_number": "218-333-5000",
            "fax_number": "218-333-5360",
            "country_name": "United States",
            "address_type": "DOM"
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            "country_code": "US",
            "telephone_number": "701-234-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4003 Crosley Ave",
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            "city": "Cincinnati",
            "state": "WI",
            "postal_code": "54212",
            "country_code": "US",
            "telephone_number": "218-333-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "992 Starlight Pl",
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            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750872294",
            "country_code": "US",
            "telephone_number": "218-333-5000",
            "country_name": "United States",
            "address_type": "DOM"
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            "address_1": "219 Grant Utley Ave NW",
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            "city": "Cass Lake",
            "state": "MN",
            "postal_code": "566333619",
            "country_code": "US",
            "telephone_number": "218-335-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Anne St NW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566015103",
            "country_code": "US",
            "telephone_number": "218-333-5000",
            "fax_number": "218-333-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3717 Pine Ridge Ave NW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566015106",
            "country_code": "US",
            "telephone_number": "218-333-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 Highway 71",
            "address_purpose": "LOCATION",
            "city": "International Falls",
            "state": "MN",
            "postal_code": "566492131",
            "country_code": "US",
            "telephone_number": "218-598-5665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Huntsinger Ave",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564701326",
            "country_code": "US",
            "telephone_number": "218-732-3389",
            "fax_number": "218-732-5994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Highway 71",
            "address_purpose": "LOCATION",
            "city": "International Falls",
            "state": "MN",
            "postal_code": "566492154",
            "country_code": "US",
            "telephone_number": "218-598-5665",
            "fax_number": "218-598-5329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 Michigan Ave W",
            "address_purpose": "LOCATION",
            "city": "Walker",
            "state": "MN",
            "postal_code": "564842276",
            "country_code": "US",
            "telephone_number": "218-547-7700",
            "fax_number": "218-547-7729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 2nd St NE",
            "address_purpose": "LOCATION",
            "city": "Fosston",
            "state": "MN",
            "postal_code": "565421301",
            "country_code": "US",
            "telephone_number": "218-435-1010",
            "fax_number": "218-435-1715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1656 Central St W Ste A",
            "address_purpose": "LOCATION",
            "city": "Bagley",
            "state": "MN",
            "postal_code": "566214357",
            "country_code": "US",
            "telephone_number": "218-694-2442",
            "fax_number": "218-694-2446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 Hannah Ave NW Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "56601",
            "country_code": "US",
            "telephone_number": "218-209-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Delmore Dr",
            "address_purpose": "LOCATION",
            "city": "Roseau",
            "state": "MN",
            "postal_code": "567511534",
            "country_code": "US",
            "telephone_number": "218-463-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANFORD HEALTH OF NORTHERN MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "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": [
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            "code": "261QM0801X",
            "taxonomy_group": "",
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        },
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            "desc": "Anesthesiology",
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        },
        {
            "code": "207R00000X",
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            "desc": "Internal Medicine",
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        },
        {
            "code": "207V00000X",
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        },
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            "desc": "Surgery",
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    ],
    "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",
            "affiliationName": "Cobius Healthcare Solutions",
            "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": "Joe Lueken Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bagley Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bagley Eye Center & Optical",
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            "type": "Doing Business As"
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        {
            "organization_name": "Sanford Bemidji 1611 Anne St Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bemidji 1611 Eye Center & Optical",
            "code": "3",
            "type": "Doing Business As"
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        {
            "organization_name": "Sanford Bemidji 1705 Ann St Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bemidji 1705 Anne St Clinic",
            "code": "3",
            "type": "Doing Business As"
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        {
            "organization_name": "Sanford Bemidji Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
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        {
            "organization_name": "Sanford Bemidji Blackduck Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bemidji Cass Lake Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bemidji Downtown Eye Center & Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bemidji Main Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bemidji Main Clinic Outreach for Cook",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bemidji Main Clinic Outreach to Neilson Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bemidji Main Clinic Outreach to Neilson Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bemidji Orthopedic and Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Bemidji Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health Baudette Eye Center & Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health Behavioral Health Administration Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health Behavioral Health Headwaters ACT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health International Falls Eye Center & Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health Park Rapids Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health Park Rapids Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health Thief River Falls Eye Center & Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health Walker Clinic",
            "code": "3",
            "type": "Doing Business As"
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    ]
}

• Sanford Health of Northern Minnesota (Sanford Bemidji Behavioral Health)
• Sanford Health of Northern Minnesota (Neilson Place)
• Sanford Health of Northern Minnesota (Sanford Pharmacy Bemidji)
• Sanford Health of Northern Minnesota (Sanford Bemidji Hospice)
• Sanford Health of Northern Minnesota (Sanford Bemidji Downtown Eye Center & Optical)
• Sanford Health of Northern Minnesota (Sanford Bemidji Medical Center)
• Sanford Health of Northern Minnesota (Sanford Bemidji Acute Rehabilitation Unit)
• Sanford Healthcare Accessories, LLC (Sanford Health Equip)
• Sanford Healthcare Accessories, LLC (Sanford Health Equip)
• Sanford Medical Center Fargo (Sanford Bemidji Main Clinic)

• Internal Medicine Physician in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.