SANFORD MEDICAL CENTER FARGO; NPI #1831131234

Contact Information

SANFORD MEDICAL CENTER FARGO

410 4TH ST NW
MAHNOMEN, MN 56557-4208

Phone: 218-935-2514
Fax: 218-935-2720
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
Obstetrics & Gynecology	207V00000X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI # 1831131234

LBN Legal business name SANFORD MEDICAL CENTER FARGO

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

Entity Organization

Organization subpart ¹ No

Enumeration date 06/11/2006

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

Identifiers

Medicaid

954222100

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

Internal Medicine

Obstetrics & Gynecology

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

Reviews for SANFORD MEDICAL CENTER FARGO