SANFORD HEALTH MAHNOMEN CLINIC
NPI 1831131234
Clinic/Center - Rural Health in Mahnomen, MN
About Sanford Health Mahnomen Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANFORD HEALTH MAHNOMEN CLINIC (NPI 1831131234) is a healthcare organization registered as a rural health in Mahnomen, Minnesota and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sanford Health Mahnomen Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
376Medicare enrollment records show 376 clinicians reassign Medicare billing to Sanford Health Mahnomen Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 47
Nearest to this location (20)
See all 376Source: 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 24D0726258
Sanford Health Mahnomen Clinic · Mahnomen, 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 1831131234. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Sanford Health Mahnomen Clinic.
Where is Sanford Medical Center Fargo located?
Sanford Medical Center Fargo is located at 410 4th St NW, Mahnomen, MN 56557. The listed phone number is (218) 935-2514.
What is Sanford Medical Center Fargo's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Sanford Medical Center Fargo enrolled in Medicare?
Yes. Sanford Medical Center Fargo is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sanford Medical Center Fargo?
According to the CMS Revalidation Reassignment List (October 2026 release), 376 clinicians in 47 Medicare specialties reassign their Medicare billing to Sanford Medical Center Fargo. 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 Nurse Practitioner (92), Family Practice (39) and Clinical Psychologist (26). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sanford Medical Center Fargo hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D0726258) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sanford Medical Center Fargo accept?
Health plans from HealthPartners, Sanford Health Plan 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 November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Health Mahnomen Clinic · NPI 1831131234
Rural Health organization in Mahnomen, Minnesota. Organization record, active in the CMS NPPES registry since June 11, 2006.
## Identity
- **NPI:** 1831131234 (Entity type: Organization)
- **Enumerated:** June 11, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Sanford Medical Center Fargo
- **Organization subpart:** No
- **Authorized official:** Tony Morrison, VICE PRESIDENT, REVENUE CYCLE
## Practice location
- **Address:** 410 4TH ST NW, Mahnomen, MN 56557-4208
- **Phone:** (218) 935-2514 · **Fax:** (218) 935-2720
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 376 clinicians in 47 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (92), Family Practice (39), Clinical Psychologist (26); 4 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1831131234/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2022
- **Other identifiers:** Medicaid 954222100 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1831131234) · Data from the CMS NPPES public registry.