SANFORD MEDICAL CENTER FARGO; NPI #1801818497

Contact Information

SANFORD MEDICAL CENTER FARGO

108 VIKING AVENUE W
ULEN, MN 56585

Phone: 218-596-8867
Fax: 218-596-8112
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI # 1801818497

LBN Legal business name SANFORD MEDICAL CENTER FARGO

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

Entity Organization

Organization subpart ¹ No

Enumeration date 07/24/2006

Last updated 11/29/2022 - About 4 years ago

Identifiers

Medicaid

098718200

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

Family Medicine

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

Reviews for SANFORD MEDICAL CENTER FARGO