Sanford Pharmacy Medical Center Fargo

LBN: Sanford Medical Center Fargo
Sanford Pharmacy Medical Center Fargo is an health care organization with primary practice located at 801 Broadway N , Fargo ND 58102-3641. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Sanford Medical Center Fargo can be contacted via phone (701) 234-5604, or through Leclerc, Martha K via phone (701) 234-6248.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Fax:
Website:
Authorized official contact:
Name: Leclerc, Martha K

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 315 North Dakota
Suppliers / Institutional Pharmacy 3336I0012X 315 North Dakota

Profile Details

NPI number 1780740076
LBN Legal business name Sanford Medical Center Fargo
DBA Doing business as Sanford Pharmacy Medical Center Fargo
Authorized official Leclerc, Martha K
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 15th, 2013 - about 11 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 1780740076 NPPES
North Dakota MEDICAID 21557
North Dakota Other 3500774
North Dakota MEDICAID 725859300

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