Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Health Pelican Rapids Clinic
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
211 E MILL ST, PELICAN RAPIDS, MN 56572-4234
(218) 863-6100
(218) 863-6173
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
(218) 863-6173
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517494500
—
MN
Enumeration date
06/25/2006
Last updated
11/29/2022
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