Organization
SANFORD HEALTH NETWORK NORTH
Active
Other names
Sanford Medical Center Mayville
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
42 6TH AVE SE, MAYVILLE, ND 58257-1506
(701) 788-3800
(701) 788-2145
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
5034
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000273
BLUE CROSS OF ND
ND
05
—
001038
—
ND
05
—
001906
—
ND
01
—
002683
ND BLUE CROSS BLUE SHIELD
ND
01
—
003200008
TRICARE
ND
01
—
01010308
PREFERRED ONE
—
01
—
0953HUN
MN BLUE CROSS BLUE SHIELD
—
01
—
5021423
MEDICA
—
05
—
940850900
—
MN
Enumeration date
09/08/2006
Last updated
11/27/2023
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