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SANFORD MEDICAL CENTER FARGO NPI 1750661054


NPI Information

NPI: 1750661054
Provider Name: SANFORD MEDICAL CENTER FARGO

Doing Business As: SANFORD BROADWAY CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
801 BROADWAY N
FARGO, ND
ZIP 58102
Phone: (701) 234-2000
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SANFORD MEDICAL CENTER FARGO is an internal medicine in Fargo, ND. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SANFORD MEDICAL CENTER FARGO NPI is 1750661054. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Broadway Clinic.

The provider's business location address is:

801 BROADWAY N
FARGO, ND
ZIP 58102-641
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 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
1204E00000XOral & Maxillofacial SurgeryNo
2204F00000XTransplant SurgeryNo
3207K00000XAllergy & ImmunologyNo
4207L00000XAnesthesiologyNo
5207V00000XObstetrics & GynecologyNo
6207Y00000XOtolaryngologyNo
7207ZP0101XPathologyAnatomic PathologyNo
8208000000XPediatricsNo
9208100000XPhysical Medicine & RehabilitationNo
102085R0202XRadiologyDiagnostic RadiologyNo
11208600000XSurgeryNo
12208800000XUrologyNo
13208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
14291U00000XClinical Medical LaboratoryNo
15207R00000XInternal 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.