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Organization
SANFORD MEDICAL CENTER FARGO
Active
Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Medical Center Fargo-IP Rehab Unit
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-8700
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
5068A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003152
NDBC
—
05
—
01821
—
ND
05
—
0230050
—
SD
01
—
1029817
PREFERRED ONE
—
01
—
1C35HME
MNBC
—
05
—
735547501
—
MN
Enumeration date
12/12/2006
Last updated
11/27/2023
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