Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Parent organization
SANFORD
Other names
Sanford Health Primewest Residential Support Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANFORD
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
3124 HANNAH AVE NW, BEMIDJI, MN 56601-5625
(218) 333-2300
(218) 333-0317
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
11/27/2023
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