Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Other names
Sanford Bemidji Senior Behavioral Health Unit
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
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-5430
(218) 333-5566
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
330837
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314545000
—
MN
Enumeration date
10/24/2006
Last updated
11/27/2023
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