SANFORD HEALTH PELICAN RAPIDS CLINIC
NPI 1114953627
Clinic/Center - Rural Health in Pelican Rapids, MN

NPI Status: Active since June 25, 2006

Contact Information

211 E MILL ST
PELICAN RAPIDS, MN
ZIP 56572
Phone: (218) 863-6100
Fax: (218) 863-6173

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 24D0406485
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-10-2027

About SANFORD HEALTH PELICAN RAPIDS CLINIC

This page provides the complete NPI Profile along with additional information for Sanford Health Pelican Rapids Clinic, a primary care provider established in Pelican Rapids, Minnesota operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1114953627 assigned on June 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Sanford Health Pelican Rapids Clinic. The authorized official of this NPI record is Tony Lee Morrison (Vice President, Revenue Cycle)

NPI
1114953627
Provider Legal Name
SANFORD MEDICAL CENTER FARGO
Other Organization Name
SANFORD HEALTH PELICAN RAPIDS CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
211 E MILL ST PELICAN RAPIDS, MN 56572
Location Phone
(218) 863-6100
Location Fax
(218) 863-6173
Mailing Address
PO BOX 2168 FARGO, ND 58107
Mailing Phone
(701) 234-2119
Mailing Fax
(218) 863-6173
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2006
Last Update Date
11-29-2022
Code Navigator

A primary care provider (PCP) like Sanford Health Pelican Rapids Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • 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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
517494500MEDICAID (05)MN 

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
24D0406485
Facility Type
Community Clinic
Certificate Effective Date
February 11, 2025
Certificate Expiration Date
February 10, 2027
Laboratory Director
DR. ANGELA J. WOOD
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Sanford Health Pelican Rapids Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for SANFORD HEALTH PELICAN RAPIDS 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 1114953627, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
7
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 1 → 2 9 → 18 → 9 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 1 + 8 + 5 + 6 + 6 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1114953627.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
211 E MILL ST, BOX 737
PELICAN RAPIDS, MN 56572
Clinic/Center (Physical Therapy)
211 E MILL ST
PELICAN RAPIDS, MN 56572
Family Medicine
211 E MILL ST
PELICAN RAPIDS, MN 56572
Physical Therapist
211 E MILL ST
PELICAN RAPIDS, MN 56572
Physical Therapy Assistant
211 E MILL ST
PELICAN RAPIDS, MN 56572
Occupational Therapist
211 E MILL ST
PELICAN RAPIDS, MN 56572
Family Medicine
211 E MILL ST
PELICAN RAPIDS, MN 56572
Physician Assistant
211 E MILL ST
PELICAN RAPIDS, MN 56572
Physician Assistant
211 E MILL ST
PELICAN RAPIDS, MN 56572
Nurse Practitioner (Family)
211 E MILL ST
PELICAN RAPIDS, MN 56572
Nurse Practitioner (Family)
211 E MILL ST
PELICAN RAPIDS, MN 56572

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114953627, enumerated as an "organization" on June 25, 2006.

The provider is located at 211 E MILL ST PELICAN RAPIDS, MN 56572 and the phone number is (218) 863-6100.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

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