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SANFORD HEALTH PRIMEWEST RESIDENTIAL SUPPORT CENTER
NPI 1093278764
Community Based Residential Treatment Facility, Mental Illness in Bemidji, MN

Active since April 10, 2019
3124 HANNAH AVE NW, BEMIDJI, MN 56601(218) 333-2300(218) 333-0317 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2020, Nov 18, 2019, May 1, 2019 and 1 more (4 updates tracked since 2019).

About Sanford Health Primewest Residential Support Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANFORD HEALTH PRIMEWEST RESIDENTIAL SUPPORT CENTER (NPI 1093278764) is a healthcare organization registered as a community based residential treatment facility, mental illness in Bemidji, Minnesota and active in the NPI registry since April 2019. The organization lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1093278764
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSANFORD HEALTH OF NORTHERN MINNESOTA
Location Address3124 HANNAH AVE NWBemidji, MN 56601-5625
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Phone(218) 333-2300
Fax(218) 333-0317
Organization SubpartYesParent: Sanford
Authorized OfficialTony Lee MorrisonVice President, Revenue Cycle · (605) 328-8380
Enumeration DateApril 10, 2019
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
✔ NPI 1093278764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
3124 HANNAH AVE NW, Bemidji, MN 56601
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Other Names 1

Doing Business AsSanford Health Primewest Residential Support Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALEE BROWNE
Counselor (Professional)
3124 HANNAH AVE NW
BEMIDJI, MN 56601
Beltrami County (218) 333-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanford Health Of Northern Minnesota's NPI number?

The NPI number for Sanford Health Of Northern Minnesota is 1093278764. It was assigned to this organization in the NPPES registry on April 10, 2019. The provider is doing business as Sanford Health Primewest Residential Support Center.

Where is Sanford Health Of Northern Minnesota located?

Sanford Health Of Northern Minnesota is located at 3124 Hannah Ave NW, Bemidji, MN 56601. The listed phone number is (218) 333-2300.

What is Sanford Health Of Northern Minnesota's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

What insurance does Sanford Health Of Northern Minnesota accept?

Health plans from Sanford Health Plan list Sanford Health Of Northern Minnesota as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanford Health Of Northern Minnesota was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.