Sanford Health 621 Demers Ave Clinic

LBN: Sanford Medical Center Fargo
Sanford Health 621 Demers Ave Clinic is an health care organization with primary practice located at 621 Demers Ave , East Grand Forks MN 56721-1812. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sanford Medical Center Fargo can be contacted via phone (218) 773-5800, or through Leclerc, Martha via phone (701) 234-6248.

Contact Information

Primary practice address
621 Demers Ave East Grand Forks MN 56721-1812
Phone: (218) 773-5800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leclerc, Martha
Phone: (701) 234-6248

Health care specialties

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

Profile Details

NPI number 1366722654
LBN Legal business name Sanford Medical Center Fargo
DBA Doing business as Sanford Health 621 Demers Ave Clinic
Authorized official Leclerc, Martha
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2011
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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