SANFORD HEALTH OF NORTHERN MINNESOTA; NPI #1316004369

Contact Information

SANFORD HEALTH OF NORTHERN MINNESOTA

1233 34TH ST NW
BEMIDJI, MN 56601-5112

Phone: 218-333-5000
Fax: 701-234-2045
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology, Radiation	261QX0203X

Indicates primary specialty

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NPI Profile & details for SANFORD HEALTH OF NORTHERN MINNESOTA

NPI # 1316004369

LBN Legal business name SANFORD HEALTH OF NORTHERN MINNESOTA

Authorized official MARTHA LECLERC - (VP)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/02/2007

Last updated 11/03/2011 - About 15 years ago

Identifiers

MN	Medicaid	939646200
	Other	1C19HME	MNBC

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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