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SANFORD MEDICAL CENTER FARGO NPI 1114207412


NPI Information

NPI: 1114207412
Provider Name: SANFORD MEDICAL CENTER FARGO

Doing Business As: SANFORD NORTH FARGO CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 35D0408301

Address:
2601 BROADWAY N
FARGO, ND
ZIP 58102
Phone: (701) 234-2900
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SANFORD MEDICAL CENTER FARGO is a family medicine in Fargo, ND. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SANFORD MEDICAL CENTER FARGO NPI is 1114207412. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford North Fargo Clinic.

The provider's business location address is:

2601 BROADWAY N
FARGO, ND
ZIP 58102-704
Phone: (701) 234-2900

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 35D0408301 - community 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily 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: 4/28/2024

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