Sanford Neuroscience Clinic
LBN: Sanford Clinic North
Sanford Neuroscience Clinic is an health care organization with primary practice located at 700 1St Ave S , Fargo ND 58103-1802. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Sanford Clinic North can be contacted via phone (701) 234-4036, or through Leclerc, Martha K via phone (701) 234-6248.
Contact Information
Primary practice address
700 1St Ave S
Fargo ND 58103-1802
Phone: (701) 234-4036
Fax: (701) 234-4134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1023030046 |
|---|---|
| LBN Legal business name | Sanford Clinic North |
| DBA Doing business as | Sanford Neuroscience Clinic |
| Authorized official | Leclerc, Martha K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023030046 | NPPES |
| Minnesota | MEDICAID | 648513800 |
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