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: October 18, 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
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

Secondary Practice Locations 2

Location 162 Upper RdGrand Portage, MN 55605-3010 · Phone (218) 475-2235
Location 29 Good Neighbor Hill RdTofte, MN 55615-2802 · Phone (218) 387-2330

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sawtooth Mountain Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Sawtooth Mountain Clinic, Inc., which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Family Practice8
Clinical Social Worker5
Nurse Practitioner4
Registered Dietitian or Nutrition Professional2

Clinicians, nearest first (19)

Clinical Social Worker
NPI 1730842865
513 5TH AVE W FL 6
Grand Marais, MN 55604
(646) 573-7576
✔ PECOS0.1 mi
Family Practice
NPI 1992711931
513 5TH AVE W
Grand Marais, MN 55604
(218) 387-2330
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1619346772
513 5TH AVE W
Grand Marais, MN 55604
(218) 387-2330
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1184692675
513 5TH AVE W
Grand Marais, MN 55604
(218) 387-2330
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1093784167
513 5TH AVE W
Grand Marais, MN 55604
(218) 387-2330
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1659077410
513 5TH AVE W
Grand Marais, MN 55604
(218) 387-2330
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1073893772
513 5TH AVE W
Grand Marais, MN 55604
(218) 387-2330
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1245876614
513 5TH AVE W
Grand Marais, MN 55604
(183) 872-3302
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1093195471
513 5TH AVE W
Grand Marais, MN 55604
(218) 387-2330
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1548603798
513 5TH AVE W
Grand Marais, MN 55604
(218) 387-2330
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1851483515
513 5TH AVE W
Grand Marais, MN 55604
(218) 387-2330
✔ PECOS✔ Accepts Medicare0.6 mi
Registered Dietitian or Nutrition Professional
NPI 1518558923
915 E 1ST ST
Duluth, MN 55805
(218) 249-5555
106 mi
Registered Dietitian or Nutrition Professional
NPI 1538832605
1110 7TH AVE
Cumberland, WI 54829
(715) 822-7200
173 mi
Nurse Practitioner
NPI 1669014445
576 APOLLO DR
Lino Lakes, MN 55014
(651) 486-2320
✔ PECOS✔ Accepts Medicare222 mi
Family Practice
NPI 1275574436
2610 CENTRAL AVE NE
Minneapolis, MN 55418
(612) 781-6816
✔ PECOS235 mi
Family Practice
NPI 1598728065
150 EMERSON AVE E SUITE 100
Saint Paul, MN 55118
(651) 552-3800
✔ PECOS237 mi
Clinical Social Worker
NPI 1154671147
2220 RIVERSIDE AVE MAIL STOP 31700A
Minneapolis, MN 55454
(952) 967-7175
✔ PECOS✔ Accepts Medicare237 mi
Clinical Social Worker
NPI 1346498383
2430 NICOLLET AVE
Minneapolis, MN 55404
(612) 871-1454
✔ PECOS✔ Accepts Medicare239 mi
Nurse Practitioner
NPI 1598019663
302 NE 14TH ST
Leon, IA 50144
(641) 446-2382
✔ PECOS✔ Accepts Medicare512 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Sawtooth Mountain Clinic, Inc. enrolled in Medicare?

Yes. Sawtooth Mountain Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sawtooth Mountain Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to Sawtooth Mountain Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8), Clinical Social Worker (5) and Nurse Practitioner (4). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.