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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
1282NR1301XRural Acute Care Hospital327482MN

Other Identifiers

General Provider Information

NPI Number : 1801870191
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 : 53-286-5856
Fax Number :
Provider Business Practice Location Address
First Line : 1300 ANNE ST NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-5103
Country : US
Telephone Number : 218-751-5430
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT, REVENUE CYCLE
Name : TONY LEE MORRISON
Credential :
Telephone Number : 605-328-8380
Provider Enumeration Date : 12/01/2005
Last Update Date : 11/27/2023

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Directions to “SANFORD HEALTH OF NORTHERN MINNESOTA ” Practice Location

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