Sanford Health 621 Demers Ave Clinic

LBN: Sanford Clinic North
Sanford Health 621 Demers Ave Clinic is an health care organization with primary practice located at 621 Demers Ave , East Grand Forks MN 56721-1833. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sanford Clinic North can be contacted via phone (218) 773-5800, or through Leclerc, Martha K via phone (701) 234-6248.

Contact Information

Primary practice address
621 Demers Ave East Grand Forks MN 56721-1833
Phone: (218) 773-5800
Fax: (218) 773-5888
Website:
Map and Directions
Authorized official contact:
Name: Leclerc, Martha K
Phone: (701) 234-6248

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1013952605
LBN Legal business name Sanford Clinic North
DBA Doing business as Sanford Health 621 Demers Ave Clinic
Authorized official Leclerc, Martha K
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Nov 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013952605 NPPES
Minnesota MEDICAID 398687000

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