Sanford Clinic Mountain Lake

LBN: Sanford Health Network
Sanford Clinic Mountain Lake is an health care organization with primary practice located at 308 8Th St N , Mountain Lake MN 56159-1568. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Sanford Health Network can be contacted via phone (507) 427-3332, or through Morrison, Tony Lee via phone (605) 328-8380.

Contact Information

Primary practice address
308 8Th St N Mountain Lake MN 56159-1568
Phone: (507) 427-3332
Fax: (507) 427-2493
Website:
Map and Directions
Authorized official contact:
Name: Morrison, Tony Lee
Phone: (605) 328-8380

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1568469039
LBN Legal business name Sanford Health Network
DBA Doing business as Sanford Clinic Mountain Lake
Authorized official Morrison, Tony Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 29th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568469039 NPPES
Minnesota MEDICAID 958132400

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