NPIMap

Sanford Bismarck

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jamestown, ND

NPI 1720161953 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1720161953
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
SANFORD BISMARCK
Practice address
300 2ND Ave NE
Jamestown, ND 58401-3373
Phone
(701) 952-4872
Fax
(701) 952-6019
NPI assigned
Oct 23, 2006
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 30

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

View all 30

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 562

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 562

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Dialysis facility

Listed as
Sanford Jamestown Dialysis CCN 353504
Overall star rating
★★★☆☆ 3.0 of 5
Ownership
Non-profit
Certified
Dec 16, 1991
Medicare certification status
Active (Provider of Services file)
Dialysis stations
12

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ND

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wentz Living Center
Napoleon, ND · CCN 355102		 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2007
Jul 11, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100526000262 ND Part a Provider - End-Stage Renal Disease Facility (ESRD) 9739098575 Practice locations: Jamestown, ND

National Provider Directory

Tax ID family
Clark O Taylor DDS (31 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

300 2ND Ave NE
Jamestown, ND 58401-3373

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
01002MedicaidND
8284OtherNCBLUE CROSS JAMESTOWN DIAL

Other names

  • Sanford Jamestown Dialysis Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Other providers in Jamestown, ND

All providers in Jamestown, ND · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Dakota

Sources for this page

Verify at the official NPI Registry.