Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sanford Health of Northern Minnesota

Organization Community/Behavioral Health Agency · NPI 1093278764

Sanford Health of Northern Minnesota is a Community/Behavioral Health Agency in Bemidji, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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Practice location Address checks out

3124 Hannah Ave NW
Bemidji, MN 56601-5625
Phone: (218) 333-2300
Fax: (218) 333-0317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X

Record details

NPI number1093278764
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSanford
Authorized official Tony Morrison — Vice President, Revenue Cycle · (605) 328-8380
Other names Sanford Health Primewest Residential Support Center; Sanford Health Primewest Residential Support Center
NPI enumeratedApril 10, 2019
Last updated in NPPESNovember 27, 2023
Certification dateJune 26, 2020
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

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