# SANFORD HEALTH OF NORTHERN MINNESOTA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Bemidji
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376617522
- **Authorized official:** MR. JON F. BERGQUIST (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (218) 333-5514

## Contact information

- **Practice address:** 1300 ANNE ST NW, BEMIDJI, MN 56601-5103
- **Practice address phone:** (218) 751-5430
- **Practice address fax:** (218) 333-5566
- **Mailing address:** 1300 ANNE ST NW, BEMIDJI, MN 56601-5103
- **Mailing address phone:** (218) 751-5430
- **Mailing address fax:** (218) 333-5566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 330837 | MN | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 11/27/2023