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SANFORD MEDICAL CENTER FARGO NPI 1093095382


NPI Information

NPI: 1093095382
Provider Name: SANFORD MEDICAL CENTER FARGO

Doing Business As: SANFORD BEMIDJI MAIN CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 24D2002500

Address:
1233 34TH ST NW
BEMIDJI, MN
ZIP 56601
Phone: (218) 333-5000
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SANFORD MEDICAL CENTER FARGO is an internal medicine in Bemidji, MN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SANFORD MEDICAL CENTER FARGO NPI is 1093095382. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Bemidji Main Clinic.

The provider's business location address is:

1233 34TH ST NW
BEMIDJI, MN
ZIP 56601-112
Phone: (218) 333-5000

The provider's authorized official is Martha Leclerc .
The authorized official title is Vice President and has the following contact phone number (701) 234-6248.

The CLIA number assigned to this NPI record is 24D2002500 - other - pbb clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/18/2011 and was last updated on 11/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207Q00000XFamily MedicineNo
3207V00000XObstetrics & GynecologyNo
4207X00000XOrthopaedic SurgeryNo
5207ZP0101XPathologyAnatomic PathologyNo
6208600000XSurgeryNo
7207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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