SANFORD MEDICAL CENTER FARGO NPI 1649550989

NPI Information

  • NPI: 1649550989
  • Provider Name: SANFORD MEDICAL CENTER FARGO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SANFORD HEALTH 929 CENTRAL AVE CLINIC
  • CLIA Number: 24D1052108
  • Address: 929 CENTRAL AVE NW
    EAST GRAND FORKS, MN
    ZIP 56721
  • Phone: (218) 773-6800

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NPI Details

SANFORD MEDICAL CENTER FARGO is a family medicine in East Grand Forks, 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 MEDICAL CENTER FARGO NPI is 1649550989. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Health 929 Central Ave Clinic.

The provider's business location address is:

929 CENTRAL AVE NW
EAST GRAND FORKS, MN
ZIP 56721-917
Phone: (218) 773-6800

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 24D1052108 - community clinic 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily 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: 11/21/2025

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