SANFORD BISMARCK (NPI# 1720161953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720161953 |
| Entity Type | Organization |
| Organization Name | SANFORD BISMARCK |
| Other Organization Name | SANFORD JAMESTOWN DIALYSIS |
| Practice Address |
300 2nd Ave Ne Jamestown ND 58401-3373 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 7019524872 |
| Practice Fax Number | 7019526019 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-07-06 |
| 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 | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 01002 | 05 | |
| NC | BLUE CROSS JAMESTOWN DIAL | 8284 | 01 |
| Other Name | Type Code |
|---|---|
| Sanford Jamestown 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 |
| 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 |
| Street Address |
300 2ND AVE NE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457752 | Paula M Marker | Physical Therapist | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2006-06-18 |
| 1508489873 | Andrea Christine Boerger | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2020-05-21 |
| 1871079541 | Deanna Joyce Weiser | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401 | 2018-07-16 |
| 1568968394 | Rebecca Anne Kuss | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2018-04-02 |
| 1245742337 | Brady Wendell Anderson | Physician Assistant | 300 2nd Ave Ne, Jamestown, ND 58401 | 2017-10-29 |
| 1275984635 | Carla Aberle | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-06-28 |
| 1932557360 | Tina Bear | Registered Nurse | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-05-26 |
| 1316316821 | Joleen Sprenger | Counselor | 300 2nd Ave Ne, #221, Jamestown, ND 58401-3373 | 2015-09-15 |
| 1679956635 | Teresa Rittenbach | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2015-07-08 |
| 1669855151 | Taryn Nicole Boom | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401 | 2015-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| 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 |
|---|---|---|---|---|
| 1790897502 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 5020 Mackay Rd, Jamestown, NC 27282-9353 | 2006-08-31 |
| 1649241720 | Satellite Healthcare Inc | Clinic/Center | 18330 Highway 108, Jamestown, CA 95327-9615 | 2006-01-27 |
| 1275972531 | Knickerbocker Dialysis Inc | Clinic/Center | 207 Foote Ave, Jamestown, NY 14701-7077 | 2013-06-20 |
| 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 |
| 1396828547 | Sanford Bismarck | Clinic/Center | #10 N River Rd, Fort Yates, ND 58538 | 2006-10-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
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.