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SANFORD CLINIC NORTH NPI 1710909304


NPI Information

NPI: 1710909304
Provider Name: SANFORD CLINIC NORTH

Doing Business As: SANFORD HAWLEY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 24D0651704

Address:
1412 MAIN STREET
HAWLEY, MN
ZIP 56549
Phone: (218) 483-3564
Get Directions

SANFORD CLINIC NORTH is a family medicine in Hawley, 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 1710909304. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Hawley Clinic.

The provider's business location address is:

1412 MAIN STREET
HAWLEY, MN
ZIP 56549-746
Phone: (218) 483-3564
Fax: (218) 483-3567

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 24D0651704 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 11/20/2019.


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
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo

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
1428716900MEDICAIDMINNESOTA

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: 11/14/2023

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