SANFORD MEDICAL CENTER FARGO; NPI #1164439196

Contact Information

SANFORD MEDICAL CENTER FARGO

100 1ST AVENUE SW
SUITE 2
LAMOURE, ND 58458-7311

Phone: 701-883-5048
Fax: 701-883-5067
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI Number 1164439196

LBN Legal business name SANFORD MEDICAL CENTER FARGO

Authorized official TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/02/2006

Last updated 05/15/2025 - More than a year ago

Identifiers

ND	Medicaid	12857
ND	Medicaid	5132
ND	Other	1328001	BLUE SHIELD
ND	Other	CF8850	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SANFORD MEDICAL CENTER FARGO

Contact Information

Specialty

Rural Health

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

Reviews for SANFORD MEDICAL CENTER FARGO