Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1437243607 |
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| LBN Legal business name | SANFORD HEALTH NETWORK | ||||||||||||||||||||||||
| Authorized official | TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 10/03/2006 | ||||||||||||||||||||||||
| Last updated | 11/27/2023 - About 3 years ago | ||||||||||||||||||||||||
| Identifiers |
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