Sanford Health of Northern Minnesota

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

33087 Issued in MN

Legal business name

SANFORD HEALTH OF NORTHERN MINNESOTA

Doing business as

Sanford Bemidji Acute Rehabilitation Unit

Practice address

1300 Anne St NW
Bemidji, MN 56601-5103

Phone

(218) 333-5514

Fax

(218) 333-5566

NPI assigned

Sep 13, 2006

Last updated

Nov 27, 2023By 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 1

Addresses

Other names 1

• Sanford Bemidji Acute Rehabilitation Unit Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1952406324",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015103",
            "telephone_number": "218-333-5514",
            "fax_number": "218-333-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HEALTH OF NORTHERN MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-10",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MN",
            "license": "33087",
            "primary": true
        }
    ],
    "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 Bemidji Acute Rehabilitation Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 (Joe Lueken Cancer Center)
• Sanford Health of Northern Minnesota (Sanford Bemidji Medical Center)
• Sanford Healthcare Accessories, LLC (Sanford Health Equip)
• Sanford Healthcare Accessories, LLC (Sanford Health Equip)
• Sanford Medical Center Fargo (Sanford Bemidji Main Clinic)
• Sanford Medical Center Fargo (Sanford Bemidji 1705 Anne St Clinic)
• Sanford Medical Center Fargo (Sanford Health 1611 North Eye Center & Optical)

• Rehabilitation Hospital Unit in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Rehabilitation Hospital Unit in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.