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
720 4TH ST N, PO BOX 2010, FARGO, ND 58122-0605
(218) 333-5000
(701) 234-2045
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C19HME
MNBC
—
05
—
939646200
—
MN
Enumeration date
01/02/2007
Last updated
11/03/2011
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