Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Parent organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Other names
Sanford Bemidji Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANFORD HEALTH OF NORTHERN MINNESOTA
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
3201 PINE RIDGE AVE NW, SUITE A, BEMIDJI, MN 56601-5101
(218) 333-5665
(218) 333-5642
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014013
PREFERRED ONE
—
01
—
3Z05NO
BLUE CROSS BLUE SHIELD MN
MN
01
—
5025411
MEDICA
—
05
—
890713700
—
MN
Enumeration date
08/17/2006
Last updated
11/27/2023
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