SAWTOOTH MOUNTAIN CLINIC, INC. – Federally Qualified Health Center (FQHC), NPI 1306832894
Federally Qualified Health Center (FQHC)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SAWTOOTH MOUNTAIN CLINIC, INC.
513, 5th Avenue West, Grand Marais, Cook County, Minnesota, 55604, United States
GRAND MARAIS, MN 556043017
Phone: (218) 387-2330
Fax: (218) 387-1278
Type: Mailing
9 Good Neighbor Hill Rd
Tofte, MN 556152802
Phone: (218) 387-2330
Type: Location
62 Upper Rd
Grand Portage, MN 556053010
Phone: (218) 475-2235
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (316 days ago).
Enrollment records
4
Earliest due date
2025-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031017000011 | O | Federally Qualified Health Center (Fqhc) | MN | TBD |
| O20041103000490 | O | Clinic/Group Practice | MN | 2025-07-31 |
| O20250314000532 | O | Federally Qualified Health Center (Fqhc) | MN | TBD |
| O20250314000674 | O | Federally Qualified Health Center (Fqhc) | MN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55604)
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