Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Dialysis Morris
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
400 E 1ST ST, MORRIS, MN 56267-1408
(320) 589-2832
(701) 234-2045
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(320) 589-2832
(320) 589-9020
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000026
NDBC
—
05
—
1018
—
ND
05
—
360419500
—
MN
01
—
4C29HME
MNBC
—
Enumeration date
12/11/2006
Last updated
11/27/2023
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