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SANFORD MEDICAL CENTER FARGO NPI 1366092801


NPI Information

NPI: 1366092801
Provider Name: SANFORD MEDICAL CENTER FARGO

Doing Business As: SANFORD FARGO HOSPICE HOUSE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 35D2187842

Address:
820 4TH ST N
FARGO, ND
ZIP 58102
Phone: (701) 234-7550
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SANFORD MEDICAL CENTER FARGO is a hospice care community based in Fargo, ND. SANFORD MEDICAL CENTER FARGO NPI is 1366092801. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford Fargo Hospice House.

The provider's business location address is:

820 4TH ST N
FARGO, ND
ZIP 58102-539
Phone: (701) 234-7550
Fax: (701) 234-7559

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The CLIA number assigned to this NPI record is 35D2187842 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2019 and was last updated on 3/15/2023.


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
1315D00000XHospice, InpatientNo
2251G00000XHospice Care, Community BasedYes

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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