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Contact Information

SANFORD HEALTH OF NORTHERN MINNESOTA
103 MAIN ST
SUITE B
BAUDETTE, MN56623-2475
 Phone: 218-634-1202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SANFORD HEALTH OF NORTHERN MINNESOTA

NPI # 1558563668
LBN Legal business name SANFORD HEALTH OF NORTHERN MINNESOTA
Authorized official TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2007
Last updated 07/02/2020 - About 6 years ago
Identifiers n/a
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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