Provider Demographics
NPI:1770180408
Name:SANFORD HEALTHCARE ACCESSORIES, LLC
Entity Type:Organization
Organization Name:SANFORD HEALTHCARE ACCESSORIES, LLC
Other - Org Name:SANFORD HEALTH EQUIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-328-8380
Mailing Address - Street 1:PO BOX 9679
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58106-9679
Mailing Address - Country:US
Mailing Address - Phone:605-328-4435
Mailing Address - Fax:605-328-5995
Practice Address - Street 1:900 E CHERRY ST
Practice Address - Street 2:
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069-1602
Practice Address - Country:US
Practice Address - Phone:605-624-4955
Practice Address - Fax:605-624-4941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies