National Provider Identifier Database

SANFORD MEDICAL CENTER FARGO
Rural Health


Contact Information

SANFORD MEDICAL CENTER FARGO
501 2ND STREET NW
TWIN VALLEY, MN56584-0996
Phone: 218-584-5142
Fax: 218-584-5399
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI Number 1689602682
Legal business name
LBN
SANFORD MEDICAL CENTER FARGO
Authorized official TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE)
Entity Organization
Organization subpart No
Enumeration date 06/29/2006
Last updated 11/29/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 329326200

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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