National Provider Identifier Database

SANFORD MEDICAL CENTER FARGO
Rural Health


Contact Information

SANFORD MEDICAL CENTER FARGO
100 1ST AVENUE SW
SUITE 2
LAMOURE, ND58458-7311
Phone: 701-883-5048
Fax: 701-883-5067
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI Number 1164439196
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 05/15/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • ND Medicaid: 12857
  • ND Medicaid: 5132
  • ND Other: 1328001 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.

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