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SANFORD MEDICAL CENTER FARGO NPI 1609156900


NPI Information

NPI: 1609156900
Provider Name: SANFORD MEDICAL CENTER FARGO

Doing Business As: SANFORD BROADWAY MEDICAL BUILDING

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 35D0655616

Address:
736 BROADWAY N
FARGO, ND
ZIP 58102
Phone: (701) 234-2000
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SANFORD MEDICAL CENTER FARGO is an infectious disease internal medicine in Fargo, ND. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. SANFORD MEDICAL CENTER FARGO NPI is 1609156900. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Broadway Medical Building.

The provider's business location address is:

736 BROADWAY N
FARGO, ND
ZIP 58102-421
Phone: (701) 234-2000

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 35D0655616 - independent 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
1111N00000XChiropractorNo
2133V00000XDietitian, RegisteredNo
3208100000XPhysical Medicine & RehabilitationNo
4207RI0200XInternal MedicineInfectious DiseaseYes

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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