Organization
SANFORD BISMARCK
Active
Other names
Sanford Home Care
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
910 18TH ST NW, MANDAN, ND 58554-1612
(701) 323-8400
(701) 323-8409
Mailing address
PO BOX 2074, SIOUX FALLS, SD 57101-2074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4004B
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039673
QSP HOME HEALTH AGENCY
ND
01
—
3251
BLUE CROSS HOME HEALTH
ND
05
—
55368
—
ND
Enumeration date
10/23/2006
Last updated
11/27/2023
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