Sanford Bemidji Cass Lake Clinic

LBN: Sanford Clinic North
Sanford Bemidji Cass Lake Clinic is an health care organization with primary practice located at 219 Grant Utley Avenue Nw , Cass Lake MN 56633-0067. 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) 335-2559, or through Leclerc, Martha K via phone (701) 234-6248.

Contact Information

Primary practice address
219 Grant Utley Avenue Nw Cass Lake MN 56633-0067
Phone: (218) 335-2559
Fax: (218) 335-2755
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 1790710853
LBN Legal business name Sanford Clinic North
DBA Doing business as Sanford Bemidji Cass Lake Clinic
Authorized official Leclerc, Martha K
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790710853 NPPES
Minnesota MEDICAID 961888100

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