Organization · Type 2 NPI
Sanford Medical Center Fargo
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Thief River Falls, MN
NPI number
1154077824
Active
Practice location
1720 Highway 59 S
Thief River Falls, MN 56701-4331
Fax (218) 683-4359
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1154077824
Sanford Medical Center Fargo's National Provider Identifier is 1154077824, issued on Feb 22, 2022. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Thief River Falls, MN. The record was last updated on Mar 14, 2025.