SANFORD CLINIC NORTH (NPI# 1164439196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164439196 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC NORTH |
| Other Organization Name | SANFORD HEALTH LAMOURE CLINIC |
| Practice Address |
100 1st Avenue Sw Suite 2 Lamoure ND 58458-7311 |
| Mailing Address |
Po Box 2168 Fargo ND 58107-2168 |
| Practice Telephone | 7018835048 |
| Practice Fax Number | 7018835067 |
| Mailing Telephone | 7012342119 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12857 | 05 | |
| ND | BLUE SHIELD | 1328001 | 01 |
| ND | 5132 | 05 | |
| ND | RAILROAD MEDICARE | CF8850 | 01 |
| Other Name | Type Code |
|---|---|
| Sanford Health LaMoure Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477042372 | Sanford Clinic North | Pharmacy | 1611 Anne St Nw Ste 1, Bemidji, MN 56601-5114 | 2018-05-07 |
| 1386099026 | Sanford Clinic North | Clinic/Center | 625 Demers Ave, East Grand Forks, MN 56721-1833 | 2016-05-02 |
| 1922361716 | Sanford Clinic North | Internal Medicine | 2960 Seter Pkwy, Fargo, ND 58104-8692 | 2012-06-18 |
| 1922303213 | Sanford Clinic North | Clinic/Center | 1245 Washington Avenue, Detroit Lakes, MN 56501-3905 | 2011-01-18 |
| 1437355393 | Sanford Clinic North | Family Medicine | 929 Central Avenue, East Grand Forks, MN 56721 | 2007-06-26 |
| 1124122783 | Sanford Clinic North | Durable Medical Equipment & Medical Supplies | 4000 28th Ave S, Moorhead, MN 56560 | 2006-09-12 |
| 1679677124 | Sanford Clinic North | Durable Medical Equipment & Medical Supplies | 1233 34th St Nw Ste C, Bemidji, MN 56601 | 2006-09-12 |
| 1073520003 | Sanford Clinic North | Clinic/Center | 336 Main Street, Forman, ND 58032-0184 | 2006-08-02 |
| 1255348280 | Sanford Clinic North | Clinic/Center | 21 Wiley Avenue South, Lidgerwood, ND 58053-4001 | 2006-08-02 |
| 1780690305 | Sanford Clinic North | Clinic/Center | 69 Highway 13 W, Gwinner, ND 58040-4127 | 2006-08-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SANFORD CLINIC NORTH | 801 Broadway North, Fargo, ND 58122 |
| System for Award Management (SAM) Entities | SANFORD CLINIC NORTH FARGO | 801 Broadway N, Fargo, ND 58102-3641 |
| Street Address |
100 1ST AVENUE SW SUITE 2 |
| City | LAMOURE |
| State | ND |
| Zip Code | 58458-7311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194387472 | Travis Rinkenberger | Physical Therapist | 16 Main St S, Lamoure, ND 58458 | 2019-07-08 |
| 1346730728 | Zachary James Neva | Physical Therapist | 16 South Main Street, Lamoure, ND 58458 | 2018-05-11 |
| 1912106600 | Ashley Marie Kottsick | Social Worker | 202 4th Ave Ne, Lamoure, ND 58458 | 2007-07-13 |
| 1629159074 | Community Volunteer Ems of Lamoure | Ambulance | 31 Center Ave East, Lamoure, ND 58458 | 2006-10-18 |
| 1134141153 | Meritcare Medical Group | Family Medicine | 107 2nd Avenue Ne, Lamoure, ND 58458 | 2006-07-25 |
| 1225504731 | Jenna Marie Long | Nurse Practitioner | 100 1st Ave Sw, Lamoure, ND 58458 | 2018-10-23 |
| 1982093043 | Lamoure County Social Services | Community/Behavioral Health | 202 4th Ave Ne, Lamoure, ND 58458 | 2015-01-13 |
| 1861631210 | Alicia Rae Lauf-pekarski | Pharmacist | 100 1st Ave Sw, Lamoure, ND 58458 | 2009-02-09 |
| 1144418906 | County of Lamoure Office of Auditor | Public Health or Welfare | 100 1st Avenue Southwest, Lamoure, ND 58458 | 2007-10-05 |
| 1942486113 | Thielges Therapy Inc | Physical Medicine & Rehabilitation | 119 Main Street Se, Lamoure, ND 58458-0007 | 2008-01-17 |
| Find all providers in zip 58458 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871871764 | Oakes Community Hospital | Clinic/Center | 100 1st Ave. Sw, Lamoure, ND 58458-7311 | 2011-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963274 | Nelson County Health System | Clinic/Center | 115 South St E, Michigan, ND 58259-4120 | 2020-08-21 |
| 1821637828 | Christian Unity Hospital Corporation | Clinic/Center | 503 Park St W Ste B, Park River, ND 58270-4138 | 2019-12-23 |
| 1023550118 | Northwood Deaconess Health Center | Clinic/Center | 308 Whinery Street, Binford, ND 58416 | 2016-11-07 |
| 1689085797 | Northwood Deaconess Health Center | Clinic/Center | 611 Towner Ave, Larimore, ND 58251 | 2014-05-12 |
| 1043649486 | Jacobson Memorial Hospital Care Center | Clinic/Center | 215 3rd Ave W, Richardton, ND 58652-7109 | 2013-11-06 |
| 1700064599 | Rolla Eye Clinic | Clinic/Center | 118 3rd St. Ne, Rolla, ND 58367-1170 | 2008-02-05 |
| 1891859948 | Nelson County Health System | Clinic/Center | 117 2nd St West, Lakota, ND 58344 | 2006-12-21 |
| 1760570394 | West River Health Services | Clinic/Center | 211 Main Street, Scranton, ND 58653 | 2006-10-10 |
| 1942398508 | West River Health Services | Clinic/Center | 420 Pacific Ave, Mott, ND 58646 | 2006-10-10 |
| 1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.