SANFORD CLINIC NORTH NPI 1780690305

NPI Information

NPI: 1780690305
Provider Name: SANFORD CLINIC NORTH

Doing Business As: SANFORD HEALTH GWINNER CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
69 HIGHWAY 13 W
GWINNER, ND
ZIP 58040
Phone: (701) 678-2263
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SANFORD CLINIC NORTH is a rural health clinic center in Gwinner, ND. SANFORD CLINIC NORTH NPI is 1780690305. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford Health Gwinner Clinic.

The provider's business location address is:

69 HIGHWAY 13 W
GWINNER, ND
ZIP 58040-127
Phone: (701) 678-2263
Fax: (701) 678-2063

The provider's authorized official is Marth 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 35D0408197 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12857	MEDICAID	NORTH DAKOTA
2	CF8850	OTHER	NORTH DAKOTA	RAILROAD MEDICARE
3	1330001	OTHER	NORTH DAKOTA	BLUE SHIELD
4	5130	MEDICAID	NORTH DAKOTA

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: 5/5/2024

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