| Organization Name: | SANFORD MEDICAL CENTER MAYVILLE |
| NPI Number: | 1518061803 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROGER A BAIER (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 42 6th Ave Se Mayville |
| State: | ND US |
| Postal Code: | 582571506 |
| Phone Number: | 7017883800 |
| Fax Number: | 7017882145 |
| NPI Enumeration Date: | 09/08/2006 |
| NPI Last Update Date: | 10/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 5034P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |