Sanford Medical Center Fargo
Sanford Medical Center Fargo provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Red Lake, Minnesota. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
24760 Hospital DrRed Lake, MN 56671
Phone: (218) 679-3117
Fax: (218) 676-4386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X |
|---|
Record details
| NPI number | 1124189741 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tony Morrison — Vice President, Revenue Cycle · (605) 328-8380 |
| Other names | Sanford Dialysis Red Lake; Sanford Dialysis Red Lake |
| NPI enumerated | December 13, 2006 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | July 31, 2020 |
| Mailing address | Po Box 2168, Fargo, ND 58107-2168 |