SANFORD HEALTH NPI 1295143030

NPI Information

SANFORD HEALTH is an occupational medicine clinic center in Bismarck, ND. SANFORD HEALTH NPI is 1295143030. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford Health Mobile Med, Llc.

The provider's business location address is:

2603 E BROADWAY AVE
BISMARCK, ND
ZIP 58501-107
Phone: (701) 323-5222
Fax: (701) 323-5867

The provider's authorized official is Stephanie Murdock .
The authorized official title is Enterprise Vice President and has the following contact phone number (701) 323-5222.

The CLIA number assigned to this NPI record is 35D1074439 - other - occ med clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2014 and was last updated on 7/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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