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SANFORD BISMARCK NPI 1700962818


NPI Information

NPI: 1700962818
Provider Name: SANFORD BISMARCK

Doing Business As: SANFORD BISMARCK TOM & FRANCES LEACH DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
209 N 7TH ST
BISMARCK, ND
ZIP 58501
Phone: (701) 323-2800
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SANFORD BISMARCK is an end-stage renal disease (esrd) treatment clinic center in Bismarck, ND. SANFORD BISMARCK NPI is 1700962818. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford Bismarck Tom & Frances Leach Dialysis.

The provider's business location address is:

209 N 7TH ST
BISMARCK, ND
ZIP 58501-441
Phone: (701) 323-2800
Fax: (701) 323-2801

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 11/27/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101002MEDICAIDNORTH DAKOTA
23889OTHERNORTH DAKOTABLUE CROSS MCO DIALYSIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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