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SANFORD BEMIDJI HOME CARE
NPI 1215043633
Home Health in Bemidji, MN

Active since August 21, 2006CLIA 24D0669539 · Waiver
3201 PINE RIDGE AVE NW, SUITE A, BEMIDJI, MN 56601(218) 333-5665(218) 333-5642 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2020, Nov 18, 2019, Feb 10, 2016 (3 updates tracked since 2016).

About Sanford Bemidji Home Care NPPES

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

SANFORD BEMIDJI HOME CARE (NPI 1215043633) is a healthcare organization registered as a home health in Bemidji, Minnesota and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1215043633
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSANFORD HEALTH OF NORTHERN MINNESOTA
Location Address3201 PINE RIDGE AVE NW, SUITE ABemidji, MN 56601-5101
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Phone(218) 333-5665
Fax(218) 333-5642
Organization SubpartYes
Authorized OfficialTony Lee MorrisonVice President, Revenue Cycle · (605) 328-8380
Enumeration DateAugust 21, 2006
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1215043633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3201 PINE RIDGE AVE NW, Bemidji, MN 56601
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Other Names 1

Doing Business AsSanford Bemidji Home Care

Other Identifiers 4

Other1538ANOMN · Blue Cross Blue Shield Mn
Other5900073Medica
Medicaid890713700MN
Other1014013Preferred One

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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 24D0669539

Sanford Bemidji Home Care And Hospice · Bemidji, MN
Active · expires Aug 31, 2026
CLIA Number24D0669539
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAshley Gagola
Laboratory Phone(218) 333-5665
Laboratory LocationSanford Bemidji Home Care And Hospice3201 Pine Ridge Ave Suite A, Bemidji, MN 56601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SANFORD HEALTH OF NORTHERN MINNESOTA
Hospice Care, Community Based
3201 PINE RIDGE AVE NW, SUITE A
BEMIDJI, MN 56601
Beltrami County (218) 333-5665

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 1215043633. It was assigned to this organization in the NPPES registry on August 21, 2006. The provider is doing business as Sanford Bemidji Home Care.

Where is Sanford Health Of Northern Minnesota located?

Sanford Health Of Northern Minnesota is located at 3201 Pine Ridge Ave NW Suite A, Bemidji, MN 56601. The listed phone number is (218) 333-5665.

What is Sanford Health Of Northern Minnesota's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

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

Yes. A Certificate of Waiver (number 24D0669539) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.