Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Other names
Sanford Bemidji
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
(701) 234-2045
Mailing address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000026
NDBC
—
01
—
1028455
PREFERRED ONE
—
05
—
185297300
—
MN
01
—
7Y46BE
MNBC
—
Enumeration date
12/13/2006
Last updated
11/07/2011
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