SANFORD BISMARCK (NPI# 1477631745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477631745 |
| Entity Type | Organization |
| Organization Name | SANFORD BISMARCK |
| Other Organization Name | SANFORD HOME CARE |
| Practice Address |
910 18th St Nw Mandan ND 58554-1612 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 7013238400 |
| Practice Fax Number | 7013238409 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 6009A | ND | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS HOSPICE | 4648 | 01 |
| ND | 58125 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Home Care | 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 |
| 1396828547 | Sanford Bismarck | Clinic/Center | #10 N River Rd, Fort Yates, ND 58538 | 2006-10-23 |
| 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 |
| 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 |
910 18TH ST NW |
| City | MANDAN |
| State | ND |
| Zip Code | 58554-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215048277 | Dale A Klein | Family Medicine | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-08-31 |
| 1457607632 | Sadaf Yousuf | Family Medicine | 910 18th St Nw, Mandan, ND 58554-1612 | 2012-07-25 |
| 1144413428 | Jamie Laree Crane | Physical Therapist | 910 18th St Nw, Mandan, ND 58554-1612 | 2007-08-21 |
| 1841483096 | Karen Kost | Physical Therapist | 910 18th St Nw, Mandan, ND 58554-1612 | 2007-08-21 |
| 1396936142 | Medcenter One | General Acute Care Hospital | 910 18th St Nw, Mandan, ND 58554-1612 | 2007-08-07 |
| 1588855332 | Medcenter One | General Acute Care Hospital | 910 18th St Nw, Mandan, ND 58554-1612 | 2007-08-07 |
| 1285798157 | Medcenter One Inc | Family Medicine | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-12-21 |
| 1790855252 | Darwin K Lange | Family Medicine | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-11-09 |
| 1669555744 | Sanford Bismarck | Home Health | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-10-23 |
| 1699878405 | Gretchen G Belzer-curl | Family Medicine | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782790 | 1150 Group Home | Intermediate Care Facility, Mentally Retarded | 1150 N. Collins Aveue, Mandan, ND 58554 | 2017-07-10 |
| 1871029033 | Anthony Kozojed | Case Manager/Care Coordinator | 701 16th Ave Se, Mandan, ND 58554 | 2017-05-10 |
| 1437690609 | 1140 Grouphome | Intermediate Care Facility, Mentally Retarded | 1140 Collins Ave, Mandan, ND 58554 | 2017-03-20 |
| 1497157895 | West River Head Start | Public Health or Welfare | 1004 7th St Nw, Mandan, ND 58554 | 2014-09-17 |
| 1093134017 | St. Alexius Mandan Pharmacy, LLC | Pharmacy | 2500 Sunset Drive Nw, Suite 2, Mandan, ND 58554 | 2014-04-08 |
| 1639501141 | Lakewood Landing, Inc. | Assisted Living Facility | 4401 21st St Se, Mandan, ND 58554 | 2013-08-07 |
| 1578835641 | Hit Inc. 1301 Grouphome | Intermediate Care Facility, Mentally Retarded | 1301 7th Ave Se, Mandan, ND 58554 | 2012-02-03 |
| 1689953036 | Timothy Lee Ulledahl | Physical Therapy Assistant | 1833 East Bismarck Expressway, Bismarck, ND 58554 | 2011-08-16 |
| 1316232887 | Nagel Family Chiropractic and Wellness LLC | Chiropractor | 2008 Twin City Drive, Mandan, ND 58554 | 2011-06-13 |
| 1598062143 | 1201 Grouphome | Intermediate Care Facility, Mentally Retarded | 1201 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
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| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501422 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 5300 12th St S, Fargo, ND 58104-4034 | 2019-04-24 |
| 1841647542 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 1212 E. Maine Avenue, Bismarck, ND 58501-4518 | 2016-05-23 |
| 1578878047 | Chi Health Connect At Home-fargo | Hospice Care, Community Based | 986 2nd Avenue West, Dickinson, ND 58601-3916 | 2010-08-09 |
| 1588866685 | Tami's Angels, Inc. | Hospice Care, Community Based | 624 Main Ave, Suite 10, Fargo, ND 58103-1966 | 2007-06-01 |
| 1225009038 | Mercy Hospital of Devils Lake | Hospice Care, Community Based | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-01-30 |
| 1013559905 | Sanford Medical Center Fargo | Hospice Care, Community Based | 801 Broadway N, Fargo, ND 58102-3641 | 2019-10-11 |
| 1366092801 | Sanford Medical Center Fargo | Hospice Care, Community Based | 820 4th St N, Fargo, ND 58102-4539 | 2019-09-17 |
| 1437634706 | Caringedge Hospice of Fargo | Hospice Care, Community Based | 4420 37th Ave S, Fargo, ND 58104-3400 | 2018-10-02 |
| 1740799501 | Caringedge Hospice of Minot LLC | Hospice Care, Community Based | 800 16th Ave Se, Minot, ND 58701-6781 | 2017-09-25 |
| 1093224867 | Caringedge Hospice of Bismarck LLC | Hospice Care, Community Based | 3124 Colorado Ln, Bismarck, ND 58503-5447 | 2017-09-25 |
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| 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.