SANFORD BEMIDJI
NPI 1093876922
Clinic/Center - Ambulatory Surgical in Bemidji, MN

Active since December 13, 2006CLIA 24D2121853 · Waiver
1233 34TH ST NW, BEMIDJI, MN 56601(218) 333-5000(701) 234-2045 Get Directions Write a Review

NPPES record last updated: November 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sanford Bemidji NPPES

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

SANFORD BEMIDJI (NPI 1093876922) is a healthcare organization registered as an ambulatory surgical in Bemidji, Minnesota and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Martha K Leclerc, Vp, as its authorized official.

NPPES Registry Identity

NPI1093876922
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSANFORD HEALTH OF NORTHERN MINNESOTA
Location Address1233 34TH ST NWBemidji, MN 56601-5112
Mailing Address1233 34th St NwBemidji, MN 56601-5112 · (218) 333-5000
Fax(701) 234-2045
Organization SubpartNo
Authorized OfficialMartha K LeclercVp · (701) 234-6248
Enumeration DateDecember 13, 2006
Last NPPES UpdateNovember 7, 2011
NPI 1093876922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1233 34TH ST NW, Bemidji, MN 56601

Other Names 1

Doing Business AsSanford Bemidji

Other Identifiers 6

Medicare ID-Type Unspecified490000032MN
Medicaid185297300MN
Other000026Ndbc
Other7Y46BEMnbc
Other1028455Preferred One
Medicare OSCAR/certification353507ND

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2121853

Sanford Bemidji Medical Center Heart And Vascular Center · Bemidji, MN
Active · expires Nov 14, 2026
CLIA Number24D2121853
Laboratory TypeHeart Screening
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorKaileigh Chapman
Laboratory Phone(218) 333-6044
Laboratory LocationSanford Bemidji Medical Center Heart And Vascular Center1300 Anne Street NW, Bemidji, MN 56601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
1233 34TH ST NW
BEMIDJI, MN 56601
Hospitalist
1233 34TH ST NW
BEMIDJI, MN 56601
Family Medicine
1233 34TH ST NW
BEMIDJI, MN 56601
Surgery
1233 34TH ST NW
BEMIDJI, MN 56601
Nurse Practitioner (Family)
1233 34TH ST NW
BEMIDJI, MN 56601
Internal Medicine
1233 34TH ST NW
BEMIDJI, MN 56601
Radiology (Diagnostic Radiology)
1233 34TH ST NW
BEMIDJI, MN 56601
Nurse Practitioner
1233 34TH ST NW
BEMIDJI, MN 56601

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 1093876922. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Sanford Bemidji.

Where is Sanford Health Of Northern Minnesota located?

Sanford Health Of Northern Minnesota is located at 1233 34th St NW, Bemidji, MN 56601. The listed phone number is (218) 333-5000.

What is Sanford Health Of Northern Minnesota's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Sanford Health Of Northern Minnesota hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2121853) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sanford Health Of Northern Minnesota was last updated on November 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.