National Provider Identifier Database

SANFORD CLINIC NORTH
Rural Health


Contact Information

SANFORD CLINIC NORTH
21 WILEY AVENUE SOUTH
LIDGERWOOD, ND58053-4001
Phone: 701-538-4189
Fax: 701-538-4319
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for SANFORD CLINIC NORTH

NPI Number 1255348280
Legal business name
LBN
SANFORD CLINIC NORTH
Authorized official MARTHA LECLERC - (VP)
Entity Organization
Organization subpart No
Enumeration date 08/02/2006
Last updated 11/27/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • ND Medicaid: 12857
  • ND Medicaid: 5135
  • ND Other: 1327001 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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