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SANFORD CLINIC NORTH NPI 1568488260


NPI Information

NPI: 1568488260
Provider Name: SANFORD CLINIC NORTH

Doing Business As: SANFORD REPRODUCTIVE MEDICINE CLINIC

Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 35D2124573

Address:
1111 HARWOOD DR S
FARGO, ND
ZIP 58104
Phone: (701) 234-4700
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SANFORD CLINIC NORTH is a reproductive endocrinology obstetrics gynecology in Fargo, ND. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. SANFORD CLINIC NORTH NPI is 1568488260. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Reproductive Medicine Clinic.

The provider's business location address is:

1111 HARWOOD DR S
FARGO, ND
ZIP 58104-603
Phone: (701) 234-4700
Fax: (701) 234-4750

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

The CLIA number assigned to this NPI record is 35D2124573 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/14/2006 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
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1709479500MEDICAIDMINNESOTA

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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