Organization
SANFORD BISMARCK
Active
Other names
Sanford Fort Yates Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R SCHUMACHER (CFO)
(701) 323-6130
Entity
Organization
Contact information
Practice address
#10 N RIVER RD, FORT YATES, ND 58538
(701) 854-7553
(701) 323-2801
Mailing address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
(701) 323-5221
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01002
—
ND
01
—
8623
BLUE CROSS FT YATES DIALY
ND
Enumeration date
10/23/2006
Last updated
01/23/2025
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