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SANFORD CLINIC NORTH NPI 1548532468


NPI Information

NPI: 1548532468
Provider Name: SANFORD CLINIC NORTH

Doing Business As: SANFORD HEALTH BROADWAY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 24D0405847

Address:
1527 BROADWAY ST
ALEXANDRIA, MN
ZIP 56308
Phone: (320) 762-0399
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SANFORD CLINIC NORTH is a family medicine in Alexandria, MN. 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 CLINIC NORTH NPI is 1548532468. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Health Broadway Clinic.

The provider's business location address is:

1527 BROADWAY ST
ALEXANDRIA, MN
ZIP 56308-537
Phone: (320) 762-0399
Fax: (320) 762-6847

The provider's authorized official is Martha K 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 24D0405847 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/8/2012 and was last updated on 1/27/2021.


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
1207R00000XInternal MedicineNo
2261Q00000XClinic/CenterNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DS4138OTHERMINNESOTARR MEDICARE
2379186602OTHERMINNESOTAFEDERAL WORKERS COMP

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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