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Organization

SANFORD HEALTH OF NORTHERN MINNESOTA

Active
Parent organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Other names
Sanford Bemidji Infusion Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
SANFORD HEALTH OF NORTHERN MINNESOTA
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization

Contact information

Practice address
1233 34TH ST NW STE B, BEMIDJI, MN 56601-5112
(218) 333-4470
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(218) 333-4770

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
3336H0001X
Home Infusion Therapy Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184728743
MN
01
2425660
NCPDP
Enumeration date
09/12/2006
Last updated
03/21/2024
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