SANFORD HEALTH OCCUPATIONAL MEDICINE CLINIC
NPI 1023496155
Preventive Medicine - Occupational Medicine in Bemidji, MN

NPI Status: Active since May 08, 2015

Contact Information

705 5TH ST NW STE B
BEMIDJI, MN
ZIP 56601
Phone: (218) 333-4735

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  • Organization
  • Preventive Medicine
  • Occupational Medicine
  • Accepts Insurance
  • CLIA Number: 24D2016403
  • CLIA Cert. Type: Other - OCCUPATIONAL HLTH SRVS
  • CLIA Exp. Date: 11-16-2026

About SANFORD HEALTH OCCUPATIONAL MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Sanford Health Occupational Medicine Clinic, a provider established in Bemidji, Minnesota operating as a Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1023496155 assigned on May 2015. The practitioner's primary taxonomy code is 2083X0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Sanford Health Occupational Medicine Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Sanford Health Occupational Medicine Clinic. The authorized official of this NPI record is Tony Lee Morrison (Vice President, Revenue Cycle)

NPI
1023496155
Provider Legal Name
SANFORD HEALTH OF NORTHERN MINNESOTA
Other Organization Name
SANFORD HEALTH OCCUPATIONAL MEDICINE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
705 5TH ST NW STE B BEMIDJI, MN 56601
Location Phone
(218) 333-4735
Mailing Address
2603 E BROADWAY AVE BISMARCK, ND 58501
Mailing Phone
(701) 323-8307
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2015
Last Update Date
11-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preventive Medicine Occupational Medicine

Taxonomy Code
2083X0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $10,600 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,500 - HMO
  • Sanford Individual TRUE $7,200 HSA Qualified - HMO
  • Sanford Individual TRUE Standardized $2,000 - HMO
  • Sanford Individual TRUE Standardized $6,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO
  • Enrich $2,000 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,000 - 50% - HMO
  • Enrich $5,000 HDHP - HMO
  • Enrich $6,000 - 40% - HMO
  • Enrich $7,500 - HMO
  • Enrich $7,500 HDHP - HMO
  • Enrich $9,500 - HMO
  • Enrich Protection - HMO
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Select $2,000 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,000 - 50% - EPO
  • Select $5,000 HDHP - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TONY LEE MORRISON

Authorized Official Title
VICE PRESIDENT, REVENUE CYCLE
Authorized Official Phone
(605) 328-8380

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2016403
Facility Type
Other - OCCUPATIONAL HLTH SRVS
Certificate Effective Date
November 17, 2024
Certificate Expiration Date
November 16, 2026
Laboratory Director
DAVID SAXON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sanford Health Occupational Medicine Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SANFORD HEALTH OCCUPATIONAL MEDICINE CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023496155, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 8 + 9 + 1 + 2 + 1 + 1 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023496155.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
705 5TH ST NW STE B
BEMIDJI, MN 56601
Nurse Practitioner (Family)
705 5TH ST NW STE B
BEMIDJI, MN 56601
Nurse Practitioner
705 5TH ST NW STE B
BEMIDJI, MN 56601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023496155, enumerated as an "organization" on May 08, 2015.

The provider is located at 705 5TH ST NW STE B BEMIDJI, MN 56601 and the phone number is (218) 333-4735.

Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.

The provider might be accepting Accepts: Medica, Sanford Health Plan and Security Health. Please consult your insurance carrier or call the provider to verify.