Sanford Health Detroit Lakes Clinic
LBN: Sanford Clinic North
Sanford Health Detroit Lakes Clinic is an health care organization with primary practice located at 1245 Washington Ave , Detroit Lakes MN 56501-3905. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalysis, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Sanford Clinic North can be contacted via phone (218) 846-2000, or through Leclerc, Martha K via phone (701) 234-6248.
Contact Information
Primary practice address
1245 Washington Ave
Detroit Lakes MN 56501-3905
Phone: (218) 846-2000
Fax: (218) 846-2114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1235170747 |
|---|---|
| LBN Legal business name | Sanford Clinic North |
| DBA Doing business as | Sanford Health Detroit Lakes Clinic |
| Authorized official | Leclerc, Martha K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Nov 2nd, 2011 - about 13 years ago |
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 | 1235170747 | NPPES |
| Minnesota | MEDICAID | 368818600 |
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