SANFORD CLINIC NORTH (NPI# 1386099026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386099026 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC NORTH |
| Other Organization Name | SANFORD HEALTH OCCUPATIONAL MEDICINE CLINIC |
| Practice Address |
625 Demers Ave East Grand Forks MN 56721-1833 |
| Mailing Address |
2603 E Broadway Ave Bismarck ND 58501-5107 |
| Practice Telephone | 2187735858 |
| Practice Fax Number | 2187735841 |
| Mailing Telephone | 7013238707 |
| Mailing Fax Number | 7013238747 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SANFORD HEALTH OCCUPATIONAL MEDICINE 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 |
| 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 |
| 1780690305 | Sanford Clinic North | Clinic/Center | 69 Highway 13 W, Gwinner, ND 58040-4127 | 2006-08-01 |
| 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 |
625 DEMERS AVE |
| City | EAST GRAND FORKS |
| State | MN |
| Zip Code | 56721-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849320 | Alexis Marie Tyce | Occupational Therapist | 625 Demers Ave, East Grand Forks, MN 56721-1833 | 2019-09-08 |
| 1881247575 | Rebecca Schulz | Nurse Practitioner | 625 Demers Ave, East Grand Forks, MN 56721-1833 | 2019-07-22 |
| 1891215836 | Abbey L Anderson | Nurse Practitioner | 625 Demers Ave, East Grand Forks, MN 56721 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421316 | Altru Health System | Assisted Living Facility | 605 5th Ave Nw, East Grand Forks, MN 56721 | 2020-06-11 |
| 1770916025 | Erika Marie Severson | Counselor | 1422 Central Ave Nw, East Grand Forks, MN 56721 | 2013-08-09 |
| 1871823021 | Stephanie Hinkle | Physician Assistant | 621 Central Ave Nw, East Grand Forks, MN 56721 | 2010-01-12 |
| 1437355393 | Sanford Clinic North | Family Medicine | 929 Central Avenue, East Grand Forks, MN 56721 | 2007-06-26 |
| 1821290826 | Andrea M Auch | Physical Therapist | 607 Demers Ave - Altru Clinic I East Grand Forks, East Grand Forks, MN 56721 | 2007-06-01 |
| 1891912812 | East Grand Forks Dental Care | Dentist | 22 4th St. Ne, East Grand Forks, MN 56721 | 2007-04-19 |
| 1457423220 | Jeffrey S Haney | Physical Therapist | 607 Demers Ave - Altru Clinic / East Grand Forks, East Grand Forks, MN 56721 | 2006-11-15 |
| 1679514285 | Jon Edwin Bradbury | Family Medicine | 929 Central Ave. Nw, East Grand Forks, MN 56721 | 2006-06-08 |
| 1114314358 | Mridu Gandhi | Family Medicine | 929 Central Ave Nw, East Grand Forks, MN 56721 | 2015-04-24 |
| 1962627398 | Lisa Jo Jamsa Tollefson | Family Medicine | 929 Central Ave Nw, East Grand Forks, MN 56721 | 2007-04-13 |
| Find all providers in zip 56721 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396045597 | Twin Cities Occupational Health and Rehabilitation | Clinic/Center | 2520 Pilot Knob Road, Suite 250, Mendota Heights, MN 55120-1137 | 2010-10-22 |
| 1770780876 | Twin Cities Occupational Health and Rehabilitation | Clinic/Center | 10190 Baltimore Street North East, Suite 100, Blaine, MN 55449 | 2007-07-02 |
| 1962624437 | Occupational Medicine Consultants, Ltd | Clinic/Center | 6515 Barrie Road, Suite 150, Edina, MN 55435 | 2007-05-03 |
| 1609134832 | Occupational Medicine Clinic | Clinic/Center | 325 33rd Ave N, Suite 110, Saint Cloud, MN 56303-3041 | 2012-04-25 |
| 1427371285 | Health Activation Services, Pllc | Clinic/Center | 7907 Powers Blvd, Chanhassen, MN 55317-9502 | 2010-03-09 |
| 1053649632 | Health Activation Services, Pllc | Clinic/Center | 4080 W Broadway Ave, #200, Robbinsdale, MN 55422-5604 | 2009-11-19 |
| 1902035603 | Health Activation Services, Pllc | Clinic/Center | 7550 34th Ave S, Minneapolis, MN 55450-1124 | 2009-07-02 |
| 1275684128 | Summit Orthopedics, Ltd. | Clinic/Center | 1661 Saint Anthony Ave, Saint Paul, MN 55104-7633 | 2007-01-16 |
| 1154337913 | Tcoh PC | Clinic/Center | 2520 Pilot Knob Rd, Mendota Heights, MN 55120-1137 | 2006-08-01 |
| 1043236896 | Minnesota Spine Rehab, Inc | Clinic/Center | 360 Sherman St, Suite 470, Saint Paul, MN 55102-2564 | 2006-07-14 |
| Find all providers with the same taxonomy | ||||
| City | EAST GRAND FORKS |
| Zip Code | 56721 |
Please comment or provide details below to improve the information on SANFORD CLINIC NORTH.
| 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.