Organization · Type 2 NPI

Sanford Medical Center Fargo

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Red Lake, MN

NPI number 1124189741 Active

Practice location

24760 Hospital Dr
Red Lake, MN 56671

Call (218) 679-3117 Map

Fax (218) 676-4386

Mailing address

PO Box 2168
Fargo, ND 58107-2168

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

7 other providers at this address

About NPI 1124189741

Sanford Medical Center Fargo's National Provider Identifier is 1124189741, issued on Dec 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Red Lake, MN. The record was last updated on Nov 27, 2023.