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Sanford Medical Center Fargo
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Red Lake, Minnesota
NPI 1124189741

Sanford Medical Center Fargo is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Fargo, MN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Sanford Medical Center Fargo practices in Red Lake, MN. The NPI Number for Sanford Medical Center Fargo is 1124189741 and holds a License No. (Minnesota).

The current practice location address for Sanford Medical Center Fargo is 24760 Hospital Dr, Red Lake, MN and can be reached out via phone at 218-679-3117 and via fax at 218-676-4386.

Location: 24760 Hospital Dr, Red Lake, MN, 58107-2168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124189741
Provider Name
Sanford Medical Center Fargo
Credential
Provider Entity Type
Organization
Address
24760 Hospital Dr, Red Lake, MN, 58107-2168
Phone Number
218-679-3117
Fax Number
218-676-4386
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
632605600 05 MN
institution
Provider Business Practice Location Address Details
Address
24760 Hospital Dr
City
Red Lake
State
Minnesota
Zip
56671
Phone Number
218-679-3117
Fax Number
218-676-4386
person
Provider Business Mailing Address Details
Address
24760 Hospital Dr
City
Red Lake
State
Minnesota
Zip
56671
Phone Number
218-679-3117
Fax Number
218-676-4386
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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