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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 Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI # 1689602682
LBN Legal business name SANFORD MEDICAL CENTER FARGO
Authorized official TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2006
Last updated 11/29/2022 - About 4 years ago
Identifiers
MN Medicaid 329326200
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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