SANFORD CLINIC NORTH (NPI# 1427077361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427077361 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC NORTH |
| Other Organization Name | SANFORD HEALTH VALLEY CITY EYE CENTER & OPTICAL |
| Practice Address |
253 Central Ave N Valley City ND 58072-2941 |
| Practice Telephone | 7018451511 |
| Practice Fax Number | 7018451513 |
| Mailing Telephone | 7018451511 |
| Mailing Fax Number | 7018451513 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | MARTHA K LECLERC (VP) |
| Authorized Official Telephone | 7012346248 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 640028100 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Health Valley City Eye Center & Optical | 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 |
253 CENTRAL AVE N |
| City | VALLEY CITY |
| State | ND |
| Zip Code | 58072-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477583466 | Joy M Quitberg | Optometrist | 253 Central Ave N, Valley City, ND 58072-2941 | 2006-07-04 |
| 1811277114 | Sanford Medical Center Fargo | Eyewear Supplier (Equipment, not the service) | 253 Central Ave N, Valley City, ND 58072-2941 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376063693 | Casey Skramstad | Adult Companion | 943 13th Ave Sw, Valley City, ND 58072 | 2017-06-27 |
| 1750656310 | Scott Mcneal | Specialist | 1028 West Main St, Valley City, ND 58072 | 2012-03-15 |
| 1447560164 | Lemont William Jahn | Pharmacist | 148 S Central Avenue, Valley City, ND 58072 | 2010-10-15 |
| 1104000124 | Janice Kay Gabriel Johnson | Occupational Therapist | 136 2nd Ave Ne, Valley City, ND 58072 | 2007-12-27 |
| 1194926659 | Barnes County Ambulance Inc | Emergency Medical Technician, Paramedic | 914 11th Ave Sw, Valley City, ND 58072 | 2007-05-30 |
| 1649332461 | Craig A Wagamon | Nurse Anesthetist, Certified Registered | 206 8th St Nw, Valley City, ND 58072 | 2006-12-15 |
| 1235204389 | Open Door Center | Intermediate Care Facility, Mentally Retarded | 209 2nd Street Se, Valley City, ND 58072 | 2006-11-22 |
| 1215001706 | Barbara E Owen | Speech-Language Pathologist | Sheyenne Care Center, 979 No Central Ave, Valley City, ND 58072 | 2006-11-17 |
| 1891877239 | Central Avenue Chiropractic PC | Chiropractor | 323 Central Avenue North, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| 1831271287 | Larry Edwin Sayler | Chiropractor | 323 North Central Avenue, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| Find all providers in zip 58072 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811277114 | Sanford Medical Center Fargo | Eyewear Supplier (Equipment, not the service) | 253 Central Ave N, Valley City, ND 58072-2941 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245721026 | Double Vision | Eyewear Supplier (Equipment, not the service) | 1365 Prairie Pkwy, West Fargo, ND 58078-4049 | 2018-05-29 |
| 1346796968 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 600 Kirkwood Mall, Bismarck, ND 58504-5704 | 2016-09-01 |
| 1841609468 | Emerging Vision Inc. | Eyewear Supplier (Equipment, not the service) | 3220 S Broadway, Minot, ND 58701-7331 | 2014-08-07 |
| 1215351440 | Doug's Optical, Inc | Eyewear Supplier (Equipment, not the service) | 1547 University Dr S, Fargo, ND 58103-4156 | 2014-02-07 |
| 1215202601 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 3750 32nd Ave S Unit 109, Grand Forks, ND 58201-5998 | 2012-03-19 |
| 1619279585 | You & Eye Eyewear LLC | Eyewear Supplier (Equipment, not the service) | 4551 S Washington St, Suite H, Grand Forks, ND 58201-3495 | 2010-11-29 |
| 1114250834 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 3757 55th Ave So, Fargo, ND 58104 | 2009-09-14 |
| 1841420395 | Priced Right Optical | Eyewear Supplier (Equipment, not the service) | 123 Main Ave E, West Fargo, ND 58078-1840 | 2009-07-17 |
| 1326276171 | Modern Eyes LLC | Eyewear Supplier (Equipment, not the service) | 121 N 3rd St., Bismarck, ND 58501 | 2009-06-30 |
| 1477728236 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 921 25th St Sw, Jamestown, ND 58401-6603 | 2008-04-23 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY CITY |
| Zip Code | 58072 |
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.