Organization · Type 2 NPI

Sanford Medical Center Fargo

Ambulatory Surgical Clinic/Center · Detroit Lakes, MN

NPI number 1922303213 Active

Practice location

1245 Washington Avenue
Detroit Lakes, MN 56501-3905

Call (218) 846-2000 Map

Fax (218) 846-2197

Mailing address

PO Box 2168
Fargo, ND 58107-2168

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

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NPI record

NPI: 1922303213
Entity type: Organization (Type 2)
Issued: Jan 18, 2011
Last updated: Jan 3, 2023
Status: Active

Other names

<unavail>
Sanford Health Detroit Lakes Same Day Surgery Center · doing business as
Sanford Health Detroit Lakes Same Day Surgery Center · doing business as

Authorized official

Tony Lee Morrison
Vice President Revenue Cycle
(605) 328-8380

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922303213

Sanford Medical Center Fargo's National Provider Identifier is 1922303213, issued on Jan 18, 2011. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Detroit Lakes, MN. The record was last updated on Jan 3, 2023.