MEDICARE: SANFORD HEALTHCARE ACCESSORIES, LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1932456472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANFORD HEALTHCARE ACCESSORIES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 9679
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58106-9679
Country	:	US
Telephone Number	:	701-234-1337
Fax Number	:	701-234-1366

Provider Business Practice Location Address
First Line	:	3801 BEMIDJI AVE N STE 4
Second Line	:
City	:	BEMIDJI
State	:	MN
Zip	:	56601-4236
Country	:	US
Telephone Number	:	218-333-4528
Fax Number	:	218-751-9728

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

Provider Enumeration Date	:	08/14/2012
Last Update Date	:	02/05/2026

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