SANFORD CLINIC NORTH NPI 1255623187

NPI Information

NPI: 1255623187
Provider Name: SANFORD CLINIC NORTH

Doing Business As: SANFORD HEALTH EDGEWOOD VISTA CLINIC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4420 37TH AVE S
FARGO, ND
ZIP 58104
Phone: (701) 365-4746
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SANFORD CLINIC NORTH is a health service clinic center in Fargo, ND. SANFORD CLINIC NORTH NPI is 1255623187. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford Health Edgewood Vista Clinic.

The provider's business location address is:

4420 37TH AVE S
FARGO, ND
ZIP 58104-400
Phone: (701) 365-4746

The provider's authorized official is Martha K Leclerc .
The authorized official title is Vp and has the following contact phone number (701) 234-6248.

The enumeration date for this NPI number is 5/11/2011 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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