SANFORD DIALYSIS RED LAKE
NPI 1124189741
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Red Lake, MN

Active since December 13, 2006CLIA 24D2028049 · Waiver
4/5
Overall Rating
24760 HOSPITAL DR, RED LAKE, MN 56671(218) 679-3117(218) 676-4386 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: Jul 31, 2020, Nov 25, 2019 (2 updates tracked since 2019).

About Sanford Dialysis Red Lake NPPES

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

SANFORD DIALYSIS RED LAKE (NPI 1124189741) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Red Lake, Minnesota and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1124189741
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSANFORD MEDICAL CENTER FARGO
Location Address24760 HOSPITAL DRRed Lake, MN 56671
Mailing AddressPo Box 2168Fargo, ND 58107-2168 · (701) 234-2119 · Fax (701) 234-2045
Fax(218) 676-4386
Organization SubpartNo
Authorized OfficialTony Lee MorrisonVice President, Revenue Cycle · (605) 328-8380
Enumeration DateDecember 13, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
NPI 1124189741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
24760 HOSPITAL DR, Red Lake, MN 56671

Other Names 1

Doing Business AsSanford Dialysis Red Lake

Other Identifiers 1

Medicaid632605600MN

Accepted Insurance

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 24D2028049

Sanford Red Lake Dialysis · Redlake, MN
Active · expires Aug 7, 2027
CLIA Number24D2028049
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorMarcy Hanson
Laboratory Phone(218) 679-3117
Laboratory LocationSanford Red Lake Dialysis24760 Hospital Rd, Redlake, MN 56671
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Sanford Dialysis Red Lake (CMS certification number 243534), from CMS Care Compare.

Sanford Dialysis Red Lake

Dialysis facility · Redlake, MN
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainSanford Health
CMS Certification Number243534
ESRD NetworkNetwork 11
Hemodialysis Stations8
Medicare-Certified SinceMarch 30, 2005
Location24760 HOSPITAL DRIVERedlake, MN 56671 · Beltrami County
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
24760 HOSPITAL DR
REDLAKE, MN 56671
Nurse Practitioner
24760 HOSPITAL DR
RED LAKE, MN 56671
Nurse Practitioner (Psychiatric/Mental Health)
24760 HOSPITAL DR
RED LAKE, MN 56671
Pediatrics
24760 HOSPITAL DR
RED LAKE, MN 56671
Registered Nurse (Case Management)
24760 HOSPITAL DR
RED LAKE, MN 56671
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL DR
RED LAKE, MN 56671
Nurse Practitioner (Family)
24760 HOSPITAL DR
RED LAKE, MN 56671

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 Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1124189741. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Sanford Dialysis Red Lake.

Where is Sanford Medical Center Fargo located?

Sanford Medical Center Fargo is located at 24760 Hospital Dr, Red Lake, MN 56671. The listed phone number is (218) 679-3117.

What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Sanford Medical Center Fargo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2028049) is associated with this NPI, valid through August 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sanford Medical Center Fargo a Medicare-certified dialysis facility?

Yes. Sanford Dialysis Red Lake is a Medicare-certified dialysis facility, certified since March 30, 2005.

What quality rating does Sanford Medical Center Fargo have?

CMS rates Sanford Dialysis Red Lake 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Sanford Medical Center Fargo accept?

Health plans from Medica and Security Health Plan list Sanford Medical Center Fargo 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 Medical Center Fargo 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.