Organization
SANFORD BISMARCK
Active
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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