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Contact Information

SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND58102-3641
 Phone: 701-234-5604
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI # 1780740076
LBN Legal business name SANFORD MEDICAL CENTER FARGO
Authorized official MARTHA LECLERC - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2006
Last updated 07/15/2013 - About 13 years ago
Identifiers
ND License # 315
MN Medicaid 725859300
ND Medicaid 21557
Other 3500774 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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