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NPI Code Detail

MEDICARE: SANFORD HEALTH OF NORTHERN MINNESOTA

MEDICARE: SANFORD HEALTH OF NORTHERN MINNESOTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician
2207Q00000XFamily Medicine Physician
3207ZP0101XAnatomic Pathology Physician
4208600000XSurgery Physician
5207L00000XAnesthesiology Physician
6261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
7207V00000XObstetrics & Gynecology Physician
8207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1780628149
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANFORD HEALTH OF NORTHERN MINNESOTA
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 605-328-6585
Fax Number : 605-328-8311
Provider Business Practice Location Address
First Line : 1233 34TH ST NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-5112
Country : US
Telephone Number : 218-333-5000
Fax Number : 218-333-5360
Authorized Official
Title or Position : VICE PRESIDENT, REVENUE CYCLE
Name : TONY LEE MORRISON
Credential :
Telephone Number : 605-328-8380
Provider Enumeration Date : 06/16/2006
Last Update Date : 11/25/2025

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Directions to “SANFORD HEALTH OF NORTHERN MINNESOTA ” Practice Location

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