National Provider Identifier Database

SANFORD MEDICAL CENTER FARGO
Rural Health


Contact Information

SANFORD MEDICAL CENTER FARGO
336 MAIN STREET
FORMAN, ND58032-0184
Phone: 701-724-3221
Fax: 701-724-3222
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI Number 1073520003
Legal business name
LBN
SANFORD MEDICAL CENTER FARGO
Authorized official TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE)
Entity Organization
Organization subpart No
Enumeration date 08/02/2006
Last updated 11/29/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • ND Medicaid: 12857
  • ND Medicaid: 5128
  • ND Other: 1331001 BLUE SHIELD
  • ND Other: CF8850 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SANFORD MEDICAL CENTER FARGO

There are currently no reviews for SANFORD MEDICAL CENTER FARGO


NPIdb - Home
v2.201