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Contact Information

SANFORD MEDICAL CENTER FARGO
1720 UNIVERSITY DR S
FARGO, ND58103-4940
 Phone: 701-234-5000
 Fax: 701-234-2045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI Number 1144381328
LBN Legal business name SANFORD MEDICAL CENTER FARGO
Authorized official TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2006
Last updated 10/28/2021 - About 5 years ago
Identifiers
ND License # 5068A
MN Medicaid 735547500
ND Medicaid 01820
SD Medicaid 0230050
Other 1C35HME MNBC
Other 003160 NDBC
Other 1029817 PREFERRED ONE
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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