Sanford Medical Center Fargo

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Thief River Falls, MN

NPI 1154077824 · NPPES record last updated Mar 14, 2025

Key facts

NPI
1154077824
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
SANFORD MEDICAL CENTER FARGO
Practice address
1720 Highway 59 S
Thief River Falls, MN 56701-4331
Phone
(218) 683-4880
Fax
(218) 683-4359
NPI assigned
Feb 22, 2022
Organization subpart
No

Authorized official

Name
Tony Lee Morrison
Title
VP, Revenue Cycle
Phone
(605) 328-8380

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Bemidji Same Day Surgery (71 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

1720 Highway 59 S
Thief River Falls, MN 56701-4331

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other providers in Thief River Falls, MN

All providers in Thief River Falls, MN · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.