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Contact Information

SANFORD MEDICAL CENTER FARGO
737 BROADWAY N
FARGO, ND58102-4421
 Phone: 701-234-2416
 Fax: 701-234-2433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI # 1235173519
LBN Legal business name SANFORD MEDICAL CENTER FARGO
Authorized official TONY MORRISON - (VP REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2006
Last updated 07/30/2024 - More than a year ago
Identifiers
ND License # 309
MN Medicaid 1235173519
ND Medicaid 21587
SD Medicaid 1235173519
Other 35-00712 NCPDP
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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