SANFORD DIALYSIS DETROIT LAKES
NPI 1578508198
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Detroit Lakes, MN
About Sanford Dialysis Detroit Lakes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANFORD DIALYSIS DETROIT LAKES (NPI 1578508198) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Detroit Lakes, Minnesota and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 23, 2028 and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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 24D1057892
Sanford Dialysis Detroit Lakes · Detroit Lakes, MNMedical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Sanford Health Detroit Lakes Eye Ce carries, from the Medicare DMEPOS supplier directory.
Sanford Health Detroit Lakes Eye Ce
DMEPOS supplier · Detroit Lakes, MNOperated by Sanford Medical Center FargoAccepts Medicare assignment
Sanford Health Detroit Lakes Eye Ce agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Dialysis Facility Quality Ratings CMS Care Compare
Quality ratings, services and patient survey results for Sanford Dialysis Detroit Lakes (CMS certification number 242318), from CMS Care Compare.
Sanford Dialysis Detroit Lakes
Dialysis facility · Detroit Lakes, 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 Medical Center Fargo's NPI number?
The NPI number for Sanford Medical Center Fargo is 1578508198. It was assigned to this organization in the NPPES registry on June 18, 2006. The provider is doing business as Sanford Dialysis Detroit Lakes.
Where is Sanford Medical Center Fargo located?
Sanford Medical Center Fargo is located at 1234 Washington Ave Ste B, Detroit Lakes, MN 56501. The listed phone number is (218) 846-2200.
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 accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Sanford Health Detroit Lakes Eye Ce accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Sanford Medical Center Fargo hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D1057892) is associated with this NPI, valid through August 23, 2028. 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 Detroit Lakes is a Medicare-certified dialysis facility, certified since April 28, 2000.
What quality rating does Sanford Medical Center Fargo have?
CMS rates Sanford Dialysis Detroit Lakes 3 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 July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Dialysis Detroit Lakes · NPI 1578508198
End-Stage Renal Disease (ESRD) Treatment organization in Detroit Lakes, Minnesota. Organization record, active in the CMS NPPES registry since June 18, 2006.
## Identity
- **NPI:** 1578508198 (Entity type: Organization)
- **Enumerated:** June 18, 2006
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Legal business name:** Sanford Medical Center Fargo
- **Organization subpart:** No
- **Authorized official:** Tony Morrison, VICE PRESIDENT, REVENUE CYCLE
## Practice location
- **Address:** 1234 WASHINGTON AVE STE B, Detroit Lakes, MN 56501-3906
- **Phone:** (218) 846-2200 · **Fax:** (218) 846-2201
## Record status
- **NPPES last updated:** July 2, 2020
- **Other identifiers:** Other 012096; Medicaid 735547500 (MN); Other 1C18HME
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1578508198) · Data from the CMS NPPES public registry.