Organization
SANFORD BISMARCK
Active
Other names
Sanford Jamestown 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
300 2ND AVE NE, JAMESTOWN, ND 58401-3373
(701) 952-4872
(701) 952-6019
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
—
8284
BLUE CROSS JAMESTOWN DIAL
NC
Enumeration date
10/23/2006
Last updated
11/27/2023
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