Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Other names
Sanford Bemidji
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON F. BERGQUIST (BUSINESS OFFICE MANAGER)
(218) 333-5514
Entity
Organization
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-5430
(218) 333-5566
Mailing address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-5430
(218) 333-5566
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
330837
MN
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1M154NO
BCBS PHYSICIAN BILLING
MN
Enumeration date
11/20/2006
Last updated
11/27/2023
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