Organization
SANFORD HEALTH NETWORK NORTH
Active
Parent organization
SANFORD HEALTH NETWORK NORTH
Other names
Sanford Health Northern Lights Residence, Sanford Behavioral Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANFORD HEALTH NETWORK NORTH
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
921 ATLANTIC AVE, THIEF RIVER FALLS, MN 56701-1638
(218) 681-8706
(218) 681-2816
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(053) 286-5856
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
MN
251C00000X
Developmentally Disabled Services Day Training Agency
—
MN
261QM0850X
Adult Mental Health Clinic/Center
FBL-18326-12117
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
MN
273R00000X
Psychiatric Hospital Unit
—
MN
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
107543-1-CDT
MN
283Q00000X
Psychiatric Hospital
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
350301
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221959000
—
MN
05
—
731047101
—
MN
05
—
731047102
—
MN
05
—
731047103
—
MN
Enumeration date
01/02/2007
Last updated
03/23/2021
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