SANFORD MEDICAL CENTER FARGO; NPI #1346256682

Contact Information

SANFORD MEDICAL CENTER FARGO

141 MAIN STREET
ELLENDALE, ND 58436-7101

Phone: 701-349-3331
Fax: 701-349-3212
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 # 1346256682

LBN Legal business name SANFORD MEDICAL CENTER FARGO

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

Entity Organization

Organization subpart ¹ No

Enumeration date 07/31/2006

Last updated 04/01/2025 - More than a year ago

Identifiers

ND	Medicaid	12857
ND	Medicaid	5133
	Other	CF8850	RAILROAD MEDICARE
ND	Other	1332001	BLUE SHIELD

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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