Organization
SANFORD BISMARCK
Active
Other names
Sanford Bismarck Tom & Frances Leach Dialysis
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
209 N 7TH ST, BISMARCK, ND 58501-4441
(701) 323-2800
(701) 323-2801
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
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
—
3889
BLUE CROSS MCO DIALYSIS
ND
Enumeration date
10/31/2006
Last updated
11/27/2023
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