SANFORD BAGLEY CLEARBROOK CLINIC
NPI 1457624272
Clinic/Center - Rural Health in Clearbrook, MN
About Sanford Bagley Clearbrook Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANFORD BAGLEY CLEARBROOK CLINIC (NPI 1457624272) is a healthcare organization registered as a rural health in Clearbrook, Minnesota and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 24D0408597
Sanford Bagley Clearbrook Clinic · Clearbrook, MNFrequently 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 1457624272. It was assigned to this organization in the NPPES registry on February 10, 2012. The provider is doing business as Sanford Bagley Clearbrook Clinic.
Where is Sanford Health Of Northern Minnesota located?
Sanford Health Of Northern Minnesota is located at 22 Elm St NW, Clearbrook, MN 56634. The listed phone number is (218) 694-3124.
What is Sanford Health Of Northern Minnesota's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Sanford Health Of Northern Minnesota hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D0408597) is associated with this NPI, valid through February 23, 2028. 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 Medica, Sanford Health Plan and Security 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.
# Sanford Bagley Clearbrook Clinic · NPI 1457624272
Rural Health organization in Clearbrook, Minnesota. Organization record, active in the CMS NPPES registry since February 10, 2012.
## Identity
- **NPI:** 1457624272 (Entity type: Organization)
- **Enumerated:** February 10, 2012
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Sanford Health Of Northern Minnesota
- **Organization subpart:** No
- **Authorized official:** Tony Morrison, VICE PRESIDENT, REVENUE CYCLE
## Practice location
- **Address:** 22 ELM ST NW, Clearbrook, MN 56634
- **Phone:** (218) 694-3124 · **Fax:** (218) 694-3184
## Record status
- **NPPES last updated:** November 27, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1457624272) · Data from the CMS NPPES public registry.