NPI Code Details Logo

NPI 1043218753

NPI 1043218753 : SANFORD HEALTH NETWORK NORTH : THIEF RIVER FALLS, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1043218753
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SANFORD HEALTH NETWORK NORTH 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/07/2005
-----------------------------------------------------
    Last Update Date     |    01/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3001 SANFORD PARKWAY 
-----------------------------------------------------
    City                 |    THIEF RIVER FALLS
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    56701-2700
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    218-681-4240
-----------------------------------------------------
    Fax                  |    218-681-5614
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 5074 
-----------------------------------------------------
    City                 |    SIOUX FALLS
-----------------------------------------------------
    State                |    SD
-----------------------------------------------------
    Zip                  |    57117-5074
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    218-681-4240
-----------------------------------------------------
    Fax                  |    218-681-5614
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VICE PRESIDENT, REVENUE CYCLE
-----------------------------------------------------
    Name                 |     TONY LEE MORRISON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    605-328-8380
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    282NC0060X
-----------------------------------------------------
    Taxonomy Name        |    Critical Access Hospital
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.