Organization Name: | SANFORD HEALTH NETWORK |
NPI Number: | 1710006739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAMMY LOOSBROCK (CEO) |
Mailing Address: | 402 E Main St Luverne |
State: | MN US |
Postal Code: | 561561904 |
Phone Number: | 5072831805 |
Fax Number: | 5072831809 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 02/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |