SANFORD BISMARCK (NPI# 1396828547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396828547 |
| Entity Type | Organization |
| Organization Name | SANFORD BISMARCK |
| Other Organization Name | SANFORD FORT YATES DIALYSIS |
| Practice Address |
#10 N River Rd Fort Yates ND 58538 |
| Mailing Address |
300 N 7th St Bismarck ND 58501-4439 |
| Practice Telephone | 7018547553 |
| Practice Fax Number | 7013232801 |
| Mailing Telephone | 7013236000 |
| Mailing Fax Number | 7013235221 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | MICHAEL R SCHUMACHER (CFO) |
| Authorized Official Telephone | 7013236130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS FT YATES DIALY | 8623 | 01 |
| ND | 01002 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Fort Yates Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790197671 | Sanford Bismarck | Clinic/Center | 2603 E Broadway Ave, Bismarck, ND 58501-5107 | 2014-05-27 |
| 1598185597 | Sanford Bismarck | Clinic/Center | 2615 Fairway Street, Dickinson, ND 58601 | 2014-04-17 |
| 1942626395 | Sanford Bismarck | Social Worker | 200 E Main Ave Ste 301, Bismarck, ND 58501-3857 | 2014-03-10 |
| 1669524351 | Sanford Bismarck | Clinic/Center | 2603 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-16 |
| 1558968560 | Sanford Bismarck | Pharmacy | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-10-02 |
| 1679937155 | Sanford Bismarck | Pharmacy | 300 N 7th St, Bismarck, ND 58501-4439 | 2016-04-11 |
| 1154485944 | Sanford Bismarck | Clinical Medical Laboratory | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-12-19 |
| 1477631745 | Sanford Bismarck | Hospice Care, Community Based | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-11-02 |
| 1700962818 | Sanford Bismarck | Clinic/Center | 209 N 7th St, Bismarck, ND 58501-4441 | 2006-10-31 |
| 1073699187 | Sanford Bismarck | Skilled Nursing Facility | 300 N 7th St, Bismarck, ND 58506-5525 | 2006-10-31 |
| Street Address |
#10 N RIVER RD |
| City | FORT YATES |
| State | ND |
| Zip Code | 58538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922650753 | Kelly Reiner | Psychologist | 10 S River Rd, Fort Yates, ND 58538 | 2019-07-11 |
| 1003367665 | Sara Froelich | Licensed Practical Nurse | N 10 River Rd, Fort Yates, ND 58538 | 2016-10-19 |
| 1649694928 | Charles Swenson | Hearing Instrument Specialist | 9266 Highway 24, Fort Yates, ND 58538 | 2014-02-07 |
| 1093142416 | Jennifer Dawn Campbell | Registered Nurse | 10 N. River Road, Fort Yates, ND 58538 | 2013-09-30 |
| 1861827743 | Standing Rock Sioux Tribe | Family Medicine | 139 Proposal Ave, Standing Rock Sioux Tribe, Fort Yates, ND 58538 | 2013-09-10 |
| 1184990608 | Standing Rock Early Childhood Tracking Program | Physical Therapist | 001 Standing Rock Avenue, Ft. Yates, ND 58538 | 2012-03-29 |
| 1699046706 | Sarah Rippley | Emergency Medical Technician, Paramedic | 143 Proposal Avenue, Fort Yates, ND 58538 | 2012-01-20 |
| 1972731974 | Standing Rock Public Transportation | Secured Medical Transport (VAN) | 1341 92nd Street, Fort Yates, ND 58538 | 2009-06-29 |
| 1144430679 | Christine Grace Peterson | Dentist | Standing Rock Ihs Hospital, 00n10 North River Road, Fort Yates, ND 58538 | 2007-05-23 |
| 1528289881 | Mark Jackson | Preventive Medicine | 10 Standing Rock Agency Avenue, Fort Yates, ND 58538 | 2007-05-02 |
| Find all providers in zip 58538 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609035997 | Renal Treatment Centers West Inc | Clinic/Center | 413 South 7th St, Oakes, ND 58474-1920 | 2008-06-03 |
| 1356532550 | Davita Dakota Dialysis Center LLC | Clinic/Center | 4474 23rd Ave S, Ste M, Fargo, ND 58104-8795 | 2007-08-05 |
| 1083625354 | Three Affiliated Tribes Kidney Dialysis Unit | Clinic/Center | 9281 Highway 23, New Town, ND 58763-9407 | 2006-08-11 |
| 1003809948 | Kidney Institute of North Dakota, LLC | Clinic/Center | 1451 - 44th Avenue South Suite 112-d, Grand Forks, ND 58201-4055 | 2005-08-25 |
| 1740822899 | Bio-medical Applications of Minnesota Inc | Clinic/Center | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2019-10-10 |
| 1447892591 | Bio-medical Applications of Minnesota Inc | Clinic/Center | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2019-10-10 |
| 1417143710 | Aurora Dialysis, LLC | Clinic/Center | 1451 44th Ave S, Suite 104d, Grand Forks, ND 58201-3434 | 2007-09-20 |
| 1821154253 | Sanford Medical Center Fargo | Clinic/Center | 2801 University Dr S, Fargo, ND 58103-6029 | 2006-12-29 |
| 1972667673 | St. Alexius Medical Center | Clinic/Center | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2006-12-20 |
| 1376605600 | St. Alexius Medical Center | Clinic/Center | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT YATES |
| Zip Code | 58538 |
Please comment or provide details below to improve the information on SANFORD BISMARCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.