Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Health Twin Valley Clinic
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
501 2ND STREET NW, TWIN VALLEY, MN 56584-0996
(218) 584-5142
(218) 584-5399
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329326200
—
MN
Enumeration date
06/29/2006
Last updated
11/29/2022
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