SANFORD CLINIC NORTH (NPI# 1952323974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952323974 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC NORTH |
| Other Organization Name | SANFORD HEALTH OCCUPATIONAL MEDICINE CLINIC |
| Practice Address |
3838 12th Ave N Fargo ND 58102-2931 |
| Mailing Address |
2603 E Broadway Ave Bismarck ND 58501-5107 |
| Practice Telephone | 7012344700 |
| Practice Fax Number | 7012344747 |
| Mailing Telephone | 7013238307 |
| Mailing Fax Number | 7013238747 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-07-10 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 16055 | 05 |
| 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 |
| 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 |
3838 12TH AVE N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952336265 | Suzanne R Sandsmark | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-12 |
| 1245633460 | Karon Joyce Garrett | Nurse Practitioner | 3838 12th Ave N, Fargo, ND 58102 | 2014-10-01 |
| 1861801763 | Lisa Lynn Froemke | Physician Assistant | 3838 12th Ave N, Fargo, ND 58102-2931 | 2014-08-05 |
| 1255749024 | Bryce Nelson | Occupational Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2014-07-24 |
| 1619318847 | Nichole Sherry Palmer-george | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2013-07-16 |
| 1336417484 | Heather Rae Bennington | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2011-12-05 |
| 1669600185 | Chantel Marie Frappier | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2009-06-23 |
| 1649300450 | Katie Margaret Layfield | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2007-03-07 |
| 1982747713 | Ann Margaret Burd | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2007-02-14 |
| 1255353744 | Jennifer L Dejong | Nurse Practitioner | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790197671 | Sanford Bismarck | Clinic/Center | 2603 E Broadway Ave, Bismarck, ND 58501-5107 | 2014-05-27 |
| 1346661196 | Landmark Occupational Health, P.C. | Clinic/Center | 310 Airport Rd Ste 2000, Williston, ND 58801-2959 | 2013-12-20 |
| 1669524351 | Sanford Bismarck | Clinic/Center | 2603 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-16 |
| 1295143030 | Sanford Health | Clinic/Center | 2603 E Broadway Ave, Bismarck, ND 58501-5107 | 2014-07-24 |
| 1629339239 | Workpartners Northpartners | Clinic/Center | 653 19th St W, Dickinson, ND 58601-2973 | 2012-05-31 |
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.