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SANFORD CLINIC NORTH NPI 1942238951


NPI Information

NPI: 1942238951
Provider Name: SANFORD CLINIC NORTH

Doing Business As: SANFORD SOUTHPOINTE CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2400 32ND AVE S
FARGO, ND
ZIP 58103
Phone: (701) 234-8800
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SANFORD CLINIC NORTH 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 CLINIC NORTH NPI is 1942238951. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Southpointe Clinic.

The provider's business location address is:

2400 32ND AVE S
FARGO, ND
ZIP 58103-800
Phone: (701) 234-8800

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 enumeration date for this NPI number is 6/29/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementNo
2207Q00000XFamily MedicineNo
3207V00000XObstetrics & GynecologyNo
4207W00000XOphthalmologyNo
5207X00000XOrthopaedic SurgeryNo
6208100000XPhysical Medicine & RehabilitationNo
7208200000XPlastic SurgeryNo
8207R00000XInternal MedicineYes

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
1734639500MEDICAIDMINNESOTA

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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