Sanford Health Northern Lights Residence

LBN: Sanford Health Network North
Sanford Health Northern Lights Residence is an health care organization with primary practice located at 921 Atlantic Ave , Thief River Falls MN 56701-1638. The organization recently has 8 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Hospital Units / Psychiatric Unit, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Hospitals / Psychiatric Hospital, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Hospitals / Psychiatric Hospital is the primary health care specialty. Sanford Health Network North can be contacted via phone (218) 681-8706, or through Morrison, Tony Lee via phone (605) 328-8380.

Contact Information

Primary practice address
921 Atlantic Ave Thief River Falls MN 56701-1638
Phone: (218) 681-8706
Fax: (218) 681-2816
Website:
Map and Directions
Authorized official contact:
Name: Morrison, Tony Lee
Phone: (605) 328-8380

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Minnesota
Agencies / Day Training, Developmentally Disabled Services 251C00000X Minnesota
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X FBL-18326-12117 Minnesota
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X Minnesota
Hospital Units / Psychiatric Unit 273R00000X Minnesota
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X 107543-1-CDT Minnesota
Hospitals / Psychiatric Hospital 283Q00000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 350301 Minnesota

Profile Details

NPI number 1790842466
LBN Legal business name Sanford Health Network North
DBA Doing business as Sanford Health Northern Lights Residence
Authorized official Morrison, Tony Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Mar 23rd, 2021 - about 5 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 1790842466 NPPES
Minnesota MEDICAID 731047101
Minnesota MEDICAID 221959000
Minnesota MEDICAID 731047103
Minnesota MEDICAID 731047102

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