Sanford Health Primewest Residential Support Center | |
3124 Hannah Ave Nw Bemidji MN 56601-5625 | |
(218) 333-2300 | |
(218) 333-0317 |
Full Name | Sanford Health Primewest Residential Support Center |
---|---|
Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 3124 Hannah Ave Nw, Bemidji, Minnesota |
Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
Authorized Official Contact | 6053288380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sanford Health Primewest Residential Support Center Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Health Primewest Residential Support Center 3124 Hannah Ave Nw Bemidji MN 56601-5625 Ph: (218) 333-2300 |
NPI Number | 1093278764 |
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Provider Enumeration Date | 04/10/2019 |
Last Update Date | 11/27/2023 |
Certification Date | 06/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093278764 | NPI | - | NPPES |
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