SANFORD CLINIC NORTH (NPI# 1306118039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306118039 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC NORTH |
| Other Organization Name | SANFORD HEALTH PARKERS PRAIRIE CLINIC |
| Practice Address |
115 E Soo St Parkers Prairie MN 56361-4995 |
| Practice Telephone | 2183384371 |
| Mailing Telephone | 2183384371 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2019-11-20 |
| 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 Health Parkers Prairie 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 |
115 E SOO ST |
| City | PARKERS PRAIRIE |
| State | MN |
| Zip Code | 56361-4995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834583 | Sarah Breitzman | Nurse Practitioner | 115 E Soo St, Parkers Prairie, MN 56361-4995 | 2006-01-09 |
| 1740726553 | Rachel Elizabeth Stanchfield | Physician Assistant | 115 E Soo St, Parkers Prairie, MN 56361-4995 | 2017-01-18 |
| 1710330832 | Maggie Solien Hartmann | Nurse Practitioner | 115 E Soo St, Parkers Prairie, MN 56361-4995 | 2016-07-14 |
| 1063804326 | Jonna Rose Beyer | Physician Assistant | 115 E Soo St, Parkers Prairie, MN 56361 | 2015-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083055370 | Donna M Krull | Custodial Care Facility | 13281 Cty. Hwy. 42, Parkers Prairie, MN 56361 | 2013-07-15 |
| 1700115003 | Mccornell Court | Assisted Living Facility | 122 No. Mccornell Avenue, Parkers Prairie, MN 56361 | 2009-12-15 |
| 1760642029 | Dianne Verant | Social Worker | 515 North Clayborn Ave, Parkers Prairie, MN 56361 | 2008-06-11 |
| 1881810190 | Casey Larae Ruckheim | Specialist | 219 West Soo St, Suite 3, Parkers Prairie, MN 56361 | 2007-04-17 |
| 1053471888 | Parkers Prairie Community Ambulance | Ambulance | 102 North Otter Avenue, Parkers Prairie, MN 56361 | 2006-12-11 |
| 1609328251 | Jillian Klemek | Chiropractor | 115 W Soo St, Parkers Prairie, MN 56361-4400 | 2016-10-31 |
| 1871035451 | Klemek Chiropractic | Chiropractor | 115 W Soo St, Parkers Prairie, MN 56361-4400 | 2016-11-14 |
| 1538292156 | St. William's Living Center | Skilled Nursing Facility | 212 W Soo St, Parkers Prairie, MN 56361-4404 | 2007-03-13 |
| 1285298349 | Grant Phillip Haugen | Physical Therapist | 212 W Soo St, Parkers Prairie, MN 56361-4404 | 2019-04-24 |
| 1528422532 | Tracey Dawn Danielson | Occupational Therapy Assistant | 212 W Soo St, Parkers Prairie, MN 56361-4404 | 2016-04-06 |
| Find all providers in zip 56361 | ||||
| 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. |
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| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
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| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | PARKERS PRAIRIE |
| Zip Code | 56361 |
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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.