GATEWAY FAMILY HEALTH CLINIC, LTD. – Rural Health Clinic/Center, NPI 1790772259

GATEWAY FAMILY HEALTH CLINIC, LTD. is a healthcare provider. based in Sandstone, Minnesota. specializing in Rural Health Clinic/Center. The organization holds a License No. R 137363-9 (MN). The NPI Number for GATEWAY FAMILY HEALTH CLINIC, LTD. is 1790772259

Main info

Organization
Name
GATEWAY FAMILY HEALTH CLINIC, LTD.
NPI
1790772259
Phone
(320) 245-2250
Address
204 LUNDORFF DR
Authorized Official
MR. ERIC P. NIELSEN ADMINISTRATOR
Enumeration Date
30 September 2005
Last Update Date
13 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:20State licenses:13Digital endpointsOther names

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Provider Addresses for GATEWAY FAMILY HEALTH CLINIC, LTD.

  • Harvest Christian School, 204, Lundorff Drive, Sandstone, Pine County, Minnesota, 55072, United States

    SANDSTONE, MN 550725051

    Phone: (320) 245-2250

    Fax: (320) 245-2555

    Type: Location

  • 4570 CTY HWY 61

    MOOSE LAKE, MN 557679401

    Phone: (218) 485-4491

    Fax: (218) 485-4724

    Type: Mailing

  • 707 LUNDORFF DR STE 1

    SANDSTONE, MN 550725099

    Phone: (320) 245-2250

    Fax: (320) 245-2555

    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: 2003-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031113000197ORural Health ClinicMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 55072)

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Reviews

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Frequently asked questions

How is GATEWAY FAMILY HEALTH CLINIC, LTD. identified in CMS data?
CMS-hosted NPPES data lists GATEWAY FAMILY HEALTH CLINIC, LTD. with NPI 1790772259.
Does the file indicate GATEWAY FAMILY HEALTH CLINIC, LTD. is practicing under active NPI?
Directory data currently reports GATEWAY FAMILY HEALTH CLINIC, LTD. as active.
What taxonomy line describes GATEWAY FAMILY HEALTH CLINIC, LTD.?
For research purposes, treat GATEWAY FAMILY HEALTH CLINIC, LTD. as Rural Health Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
Does GATEWAY FAMILY HEALTH CLINIC, LTD. list a practice location?
Patients near Sandstone, Minnesota may find GATEWAY FAMILY HEALTH CLINIC, LTD. in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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