OrganizationActive
Sanford Medical Center Fargo
NPI 1053557884 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Thief River Falls, MN
Provider details
- NPI number
- 1053557884
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tony Morrison, Vice President, Revenue Cycle(605) 328-8380
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 Labree Ave S
Thief River Falls, MN 56701-2840
Phone: (218) 681-4240
Street-level locationGet directions
Mailing address
Po Box 2168
Fargo, ND 58107-2168
Other names (DBA / former)
- Doing business as
- Sanford Dialysis Thief River Falls
- Doing business as
- Sanford Dialysis Thief River Falls
Registry dates
- Enumerated
- 2008-12-29
- Last updated
- 2023-11-27
- Certified
- 2020-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.