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SAWTOOTH MOUNTAIN CLINIC, INC.
NPI 1306832894
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Marais, MN

Active since September 21, 2005CLIA 24D1001495 · Waiver
513 5TH AVE W, GRAND MARAIS, MN 55604(218) 387-2330(218) 387-1278 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2025, Nov 17, 2022, May 20, 2022 and 2 more (5 updates tracked since 2018).

About Sawtooth Mountain Clinic, Inc. NPPES

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

SAWTOOTH MOUNTAIN CLINIC, INC. (NPI 1306832894) is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Marais, Minnesota and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through July 11, 2028, maintains 2 additional practice locations, and lists Jeff Stoddard, Cfo, as its authorized official.

NPPES Registry Identity

NPI1306832894
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSAWTOOTH MOUNTAIN CLINIC, INC.
Location Address513 5TH AVE WGrand Marais, MN 55604-3017
Mailing Address513 5th Ave WGrand Marais, MN 55604-3017 · (218) 387-2330 · Fax (218) 387-1278
Phone(218) 387-2330
Fax(218) 387-1278
Organization SubpartNo
Authorized OfficialJeff StoddardCfo · (218) 877-8263
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJanuary 3, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1306832894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 22021 (MN)
Also ListedFamily MedicineTaxonomy 207Q00000X
513 5TH AVE W, Grand Marais, MN 55604
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19 Good Neighbor Hill RdTofte, MN 55615-2802 · Phone (218) 387-2330
Location 262 Upper RdGrand Portage, MN 55605-3010 · Phone (218) 475-2235

Other Identifiers 9

Medicaid536253900MN
OtherBC69144COMN · Group Claims-bcbs
Medicaid785090500MN
Medicaid744708600MN
Medicaid844318100MN
Other241806MN · Medicare/oscar Certification
Medicaid873397000MN
Medicaid639097800MN
Other4F029TEMN · Dr. Terrill-bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 24D1001495

Sawtooth Mountain Clinic Inc · Grand Marais, MN
Active · expires Jul 11, 2028
CLIA Number24D1001495
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorKate Surbaugh
Laboratory Phone(218) 387-2330
Laboratory LocationSawtooth Mountain Clinic Inc513 5th Avenue West, Grand Marais, MN 55604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

DR. MILAN C SCHMIDT MD
Family Medicine
513 5TH AVE W
GRAND MARAIS, MN 55604
Cook County (218) 387-2330
MELISSA ANN BROOKS MSN, FNP
Nurse Practitioner (Family)
513 5TH AVE W
GRAND MARAIS, MN 55604
Cook County (218) 387-2330
CATHERINE MARIE HANSEN M.D.
Family Medicine
513 5TH AVE W
GRAND MARAIS, MN 55604
Cook County (218) 387-2330
DR. PAUL E TERRILL M.D.
Family Medicine
513 5TH AVE W
GRAND MARAIS, MN 55604
Cook County (218) 387-2330
GANNA KREVECHENKO PHARMD
Pharmacist
513 5TH AVE W
GRAND MARAIS, MN 55604
Cook County (218) 877-8277
DR. JENNIFER L DELFS M.D.
Family Medicine
513 5TH AVE W
GRAND MARAIS, MN 55604
Cook County (218) 387-2330
KRISTIN ELISABETH DEARRUDA WHARTON APRN, FNP-C
Nurse Practitioner (Family)
513 5TH AVE W
GRAND MARAIS, MN 55604
Cook County (183) 872-3302
RACHEL CLAIRE THEISMANN PHARMD
Pharmacist
513 5TH AVE W
GRAND MARAIS, MN 55604
Cook County (218) 877-8277

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 Sawtooth Mountain Clinic, Inc.'s NPI number?

The NPI number for Sawtooth Mountain Clinic, Inc. is 1306832894. It was assigned to this organization in the NPPES registry on September 21, 2005.

Where is Sawtooth Mountain Clinic, Inc. located?

Sawtooth Mountain Clinic, Inc. is located at 513 5th Ave W, Grand Marais, MN 55604. The listed phone number is (218) 387-2330.

What is Sawtooth Mountain Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Sawtooth Mountain Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1001495) is associated with this NPI, valid through July 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sawtooth Mountain Clinic, Inc. accept?

Health plans from Medica list Sawtooth Mountain Clinic, Inc. 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 Sawtooth Mountain Clinic, Inc. was last updated on January 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.