Sanford Pharmacy Moorhead
LBN: Sanford Medical Center Fargo
Sanford Pharmacy Moorhead is an health care organization with primary practice located at 4000 28Th Ave S , Moorhead MN 56560. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Sanford Medical Center Fargo can be contacted via phone (701) 234-3250, or through Morrison, Tony Lee via phone (605) 328-8380.
Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 2602723 | Minnesota |
Suppliers / Clinic Pharmacy | 3336C0002X | 2602723 | Minnesota |
Profile Details
NPI number | 1124122783 |
---|---|
LBN Legal business name | Sanford Medical Center Fargo |
DBA Doing business as | Sanford Pharmacy Moorhead |
Authorized official | Morrison, Tony Lee |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 12th, 2006 |
Last updated | Dec 12th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124122783 | NPPES |
Minnesota | MEDICAID | 1124122783 | |
Minnesota | Other | 24-17081 | |
Minnesota | MEDICAID | 21559 | |
Minnesota | Other | 82-00338 |
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