Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Dialysis Bemidji
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
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5640
(218) 333-5516
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
(701) 234-2045
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
—
011627
—
MN
01
—
1030613
PREFERRED ONE
—
01
—
1C19HME
MNBC
—
Enumeration date
12/14/2006
Last updated
11/27/2023
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