Organization Name: | SANFORD CLINIC NORTH |
NPI Number: | 1679677124 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTHA K LECLERC (VICE PRESIDENT) |
Mailing Address: | 1233 34th St Nw Bemidji |
State: | MN US |
Postal Code: | 566015112 |
Phone Number: | 2183335265 |
Fax Number: | 2183335250 |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 360230 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |