| Sanford Bemidji Behavioral Health | |
|
3220 Hannah Ave Nw Ste 1 Bemidji MN 56601 | |
| (218) 209-3600 | |
| (218) 209-3639 |
| Full Name | Sanford Bemidji Behavioral Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3220 Hannah Ave Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Bemidji Behavioral Health Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Bemidji Behavioral Health 3220 Hannah Ave Nw Ste 1 Bemidji MN 56601 Ph: (218) 209-3600 |
| NPI Number | 1649902370 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Medicare PECOS PAC ID | 5597725168 |
|---|---|
| Medicare Enrollment ID | O20220922001642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649902370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Secondary |
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