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Contact Information

SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
STE 7
BEMIDJI, MN56601-5114
 Phone: 218-333-2020
 Fax: 218-333-2019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SANFORD HEALTH OF NORTHERN MINNESOTA

NPI Number 1154587780
LBN Legal business name SANFORD HEALTH OF NORTHERN MINNESOTA
Authorized official TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2008
Last updated 01/23/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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