OrganizationActive
Sanford Medical Center Fargo
NPI 1578508198 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Detroit Lakes, MN
Provider details
- NPI number
- 1578508198
- 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(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1234 Washington Ave Ste B
Detroit Lakes, MN 56501-3906
Phone: (218) 846-2200
Fax: (218) 846-2201
Street-level locationGet directions
Mailing address
Po Box 2168
Fargo, ND 58107-2168
Other names (DBA / former)
- Doing business as
- Sanford Dialysis Detroit Lakes
- Doing business as
- Sanford Dialysis Detroit Lakes
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2020-07-02
- Certified
- 2020-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.