SANFORD MEDICAL CENTER FARGO; NPI #1124184403

Contact Information

SANFORD MEDICAL CENTER FARGO

1234 WASHINGTON AVE STE A
DETROIT LAKES, MN 56501-3906

Phone: 218-846-2000
Fax: 701-234-2045
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI Number 1124184403

LBN Legal business name SANFORD MEDICAL CENTER FARGO

Authorized official TONY MORRISON - (VP, FINANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/29/2006

Last updated 08/02/2024 - More than a year ago

Identifiers

	Other	4C334BE	MNBC
	Other	801770	NDBC

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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SANFORD MEDICAL CENTER FARGO

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

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