| Organization Name: | SANFORD MEDICAL CENTER THIEF RIVER FA |
| NPI Number: | 1184781775 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HANNAH SHIRKEY (CFO) |
| Mailing Address: | 120 Labree Ave South Thief River Falls |
| State: | MN US |
| Postal Code: | 567012819 |
| Phone Number: | 2186814240 |
| Fax Number: | 2186815614 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |