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Contact Information

SANFORD HEALTH OF NORTHERN MINNESOTA
1233 34TH ST NW STE B
BEMIDJI, MN56601-5112
 Phone: 218-333-4470
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SANFORD HEALTH OF NORTHERN MINNESOTA

NPI # 1184728743
LBN Legal business name SANFORD HEALTH OF NORTHERN MINNESOTA
Authorized official TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/12/2006
Last updated 03/21/2024 - About 2 years ago
Identifiers
MN Medicaid 1184728743
Other 2425660 NCPDP
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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