Sanford Children'S Southwest Clinic
LBN: Sanford Clinic North
Sanford Children'S Southwest Clinic is an health care organization with primary practice located at 2701 13Th Ave S , Fargo ND 58103-3602. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Sanford Clinic North can be contacted via phone (701) 234-3600, or through Leclerc, Martha K via phone (701) 234-6248.
Contact Information
Primary practice address
2701 13Th Ave S
Fargo ND 58103-3602
Phone: (701) 234-3600
Fax: (701) 234-3528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1033147046 |
|---|---|
| LBN Legal business name | Sanford Clinic North |
| DBA Doing business as | Sanford Children'S Southwest Clinic |
| Authorized official | Leclerc, Martha K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 29th, 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 | 1033147046 | NPPES |
| Minnesota | MEDICAID | 086712800 |
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