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Contact Information

SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND58102-3641
 Phone: 701-234-6303
 Fax: 701-234-7054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Air Transport

3416A0800X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI Number 1942415468
LBN Legal business name SANFORD MEDICAL CENTER FARGO
Authorized official TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 01/23/2025 - More than a year ago
Identifiers
MN License # 395
ND License # 602
MN Medicaid 735547500
ND Medicaid 50794
SD Medicaid 9020442
Other 5017664 MEDICA
Other 1466HLU MNBC
Other 23581 NDBC
Other 721 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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