SANFORD BISMARCK (NPI# 1790197671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790197671 |
| Entity Type | Organization |
| Organization Name | SANFORD BISMARCK |
| Other Organization Name | MOBILE MED |
| Practice Address |
2603 E Broadway Ave Bismarck ND 58501-5107 |
| Practice Telephone | 7013235222 |
| Practice Fax Number | 7013235867 |
| Mailing Telephone | 7013235222 |
| Mailing Fax Number | 7013235867 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |
| Authorized Official Name | STEPHANIE MURDOCK (ENTERPRISE VICE PRESIDENT) |
| Authorized Official Telephone | 7013235733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mobile Med | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
2603 E BROADWAY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134685373 | Emily M Stevenson | Physician Assistant | 2603 E Broadway Ave, Bismarck, ND 58501-5107 | 2019-02-12 |
| 1689199002 | Nicole Halderman | Physical Therapist | 2603 E Broadway Ave, Bismarck, ND 58501-5107 | 2017-08-07 |
| 1538545645 | Rebecca Lueck | Physical Therapist | 2603 E Broadway Ave, Bismarck, ND 58501-5107 | 2015-07-31 |
| 1295143030 | Sanford Health | Clinic/Center | 2603 E Broadway Ave, Bismarck, ND 58501-5107 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669524351 | Sanford Bismarck | Clinic/Center | 2603 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-16 |
| 1295143030 | Sanford Health | Clinic/Center | 2603 E Broadway Ave, Bismarck, ND 58501-5107 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346661196 | Landmark Occupational Health, P.C. | Clinic/Center | 310 Airport Rd Ste 2000, Williston, ND 58801-2959 | 2013-12-20 |
| 1629339239 | Workpartners Northpartners | Clinic/Center | 653 19th St W, Dickinson, ND 58601-2973 | 2012-05-31 |
| 1952323974 | Sanford Clinic North | Clinic/Center | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-25 |
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.