SANFORD CLINIC NORTH (NPI# 1114272028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114272028 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC NORTH |
| Other Organization Name | SANFORD HILLSBORO CLINIC |
| Practice Address |
315 E Caledonia Ave Hillsboro ND 58045-4701 |
| Mailing Address |
Po Box 639 Hillsboro ND 58045-0639 |
| Practice Telephone | 7016365311 |
| Mailing Telephone | 7016365311 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | MARTHA K LECLERC (VICE PRESIDENT) |
| Authorized Official Telephone | 7012346248 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sanford Hillsboro Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477042372 | Sanford Clinic North | Pharmacy | 1611 Anne St Nw Ste 1, Bemidji, MN 56601-5114 | 2018-05-07 |
| 1386099026 | Sanford Clinic North | Clinic/Center | 625 Demers Ave, East Grand Forks, MN 56721-1833 | 2016-05-02 |
| 1922361716 | Sanford Clinic North | Internal Medicine | 2960 Seter Pkwy, Fargo, ND 58104-8692 | 2012-06-18 |
| 1922303213 | Sanford Clinic North | Clinic/Center | 1245 Washington Avenue, Detroit Lakes, MN 56501-3905 | 2011-01-18 |
| 1437355393 | Sanford Clinic North | Family Medicine | 929 Central Avenue, East Grand Forks, MN 56721 | 2007-06-26 |
| 1124122783 | Sanford Clinic North | Durable Medical Equipment & Medical Supplies | 4000 28th Ave S, Moorhead, MN 56560 | 2006-09-12 |
| 1679677124 | Sanford Clinic North | Durable Medical Equipment & Medical Supplies | 1233 34th St Nw Ste C, Bemidji, MN 56601 | 2006-09-12 |
| 1073520003 | Sanford Clinic North | Clinic/Center | 336 Main Street, Forman, ND 58032-0184 | 2006-08-02 |
| 1164439196 | Sanford Clinic North | Clinic/Center | 100 1st Avenue Sw, Suite 2, Lamoure, ND 58458-7311 | 2006-08-02 |
| 1255348280 | Sanford Clinic North | Clinic/Center | 21 Wiley Avenue South, Lidgerwood, ND 58053-4001 | 2006-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SANFORD CLINIC NORTH | 801 Broadway North, Fargo, ND 58122 |
| System for Award Management (SAM) Entities | SANFORD CLINIC NORTH FARGO | 801 Broadway N, Fargo, ND 58102-3641 |
| Street Address |
315 E CALEDONIA AVE |
| City | HILLSBORO |
| State | ND |
| Zip Code | 58045-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265464259 | Sanford Health Network North | Family Medicine | 315 E Caledonia Ave, Hillsboro, ND 58045-4701 | 2006-07-07 |
| 1932510880 | Kristen Ann Schulz | Physical Therapist | 315 E Caledonia Ave, Hillsboro, ND 58045-4701 | 2014-05-14 |
| 1578581146 | Timothy J Luithle | Family Medicine | 315 E Caledonia Ave, Hillsboro, ND 58045 | 2006-07-18 |
| 1013935600 | Ann M Owens | Physician Assistant | 315 E Caledonia Ave, Hillsboro, ND 58045 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306275334 | Dawn Haugen | Social Worker | 114 W Caledonia Ave, Hillsboro, ND 58045 | 2013-11-12 |
| 1740380542 | Hillsboro Drug & Gift, Inc. | Durable Medical Equipment & Medical Supplies | 13 North Main St., Hillsboro, ND 58045 | 2006-09-22 |
| 1588763932 | Traill District Health Unit | Public Health or Welfare | 114 West Caledonia Ave, Hillsboro, ND 58045 | 2006-09-22 |
| 1114944113 | Charles J Breen | Family Medicine | 315 E Caldonia Ave, Hillsboro, ND 58045 | 2006-07-16 |
| 1245724269 | Jackelyn Marie Kraling | Case Manager/Care Coordinator | 114 West Caledonia Ave, Hillsboro, ND 58045 | 2018-06-22 |
| 1326539800 | Jennifer Jean Schaetz | Physical Therapist | 12 3rd St Se, Hillsboro, ND 58045 | 2018-05-21 |
| 1073960050 | Allison Marie Klassen | Case Manager/Care Coordinator | 114 W Caledonia Ave, Hillsboro, ND 58045 | 2016-05-19 |
| 1417377920 | Mary Ann Hastings | Social Worker | 114 West Caledonia Ave, Hillsboro, ND 58045 | 2014-04-23 |
| 1104246693 | Beth Morrow | Social Worker | 114 West Caledonia Ave, Hillsboro, ND 58045 | 2014-04-23 |
| 1194825992 | Randy Allen Habeck | Pharmacist | 13 North Main St., Hillsboro, ND 58045 | 2006-09-22 |
| Find all providers in zip 58045 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336569755 | Fredric Leroy Melton | Family Medicine | 10738 Business 21, Hillsboro, MO 63050-5075 | 2014-04-24 |
| 1992053391 | Robert George Franz | Family Medicine | 312 S. Kennedy, Hillsboro, KS 67063-1822 | 2012-08-16 |
| 1467728402 | David S Ayres | Family Medicine | 6320 Sr 138, Hillsboro, OH 45133-7754 | 2012-03-23 |
| 1225325210 | Jobeth E. B. Lee | Family Medicine | 435 W Walnut St, Hillsboro, OH 45133-1337 | 2011-06-29 |
| 1427341783 | Heather Marie Derington | Family Medicine | 117 Jane Ln, Hillsboro, TX 76645-2673 | 2011-05-19 |
| 1134412794 | Morgan Mellisande Lisner | Family Medicine | 6355 Ne Cornell Rd Ste 100, Hillsboro, OR 97124-5434 | 2011-05-16 |
| 1750688404 | Kristen E Flemmer Md PC | Family Medicine | 333 Se 7th Ave Ste 5550, Hillsboro, OR 97123-5193 | 2011-02-15 |
| 1912136011 | Hina Ahmad Khan | Family Medicine | 18610 Nw Cornell Rd Ste 300, Hillsboro, OR 97124-9206 | 2009-07-09 |
| 1316186752 | John Meade Johnson | Family Medicine | 210 Garland Dr, Hillsboro, TX 76645-2351 | 2009-02-09 |
| 1275780371 | Cah Acquisition Company 5 LLC | Family Medicine | 101 Industrial Road, Hillsboro, KS 67063 | 2008-08-20 |
| Find all providers in HILLSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.