Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1598185597 |
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| LBN Legal business name | SANFORD BISMARCK | ||||||||
| Authorized official | TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 04/17/2014 | ||||||||
| Last updated | 04/21/2021 - About 5 years ago | ||||||||
| Identifiers |
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