DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SANFORD MEDICAL CENTER FARGO

MEDICARE: SANFORD MEDICAL CENTER FARGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0100XOccupational Medicine Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952323974
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANFORD MEDICAL CENTER FARGO
Provider Business Mailing Address
First Line : 2603 E BROADWAY AVE
Second Line :
City : BISMARCK
State : ND
Zip : 58501-5107
Country : US
Telephone Number : 701-323-8307
Fax Number : 701-323-8747
Provider Business Practice Location Address
First Line : 3838 12TH AVE N
Second Line :
City : FARGO
State : ND
Zip : 58102-2931
Country : US
Telephone Number : 701-234-4700
Fax Number : 701-234-4747
Authorized Official
Title or Position : VP, REVENUE CYCLE
Name : TONY LEE MORRISON
Credential :
Telephone Number : 605-328-8380
Provider Enumeration Date : 07/25/2006
Last Update Date : 08/15/2024

Similar Medicare Providers

1982747713 — MRS. ANN MARGARET BURD MPT
Practice Location Address:
3838 12TH AVE N
FARGO, ND
58102-2931
Practice Phone: 701-234-4700
Practice Fax:
1952336265 — SUZANNE R SANDSMARK RPT
Practice Location Address:
3838 12TH AVE N
FARGO, ND
58102-2931
Practice Phone: 701-234-4700
Practice Fax: 701-234-4757
1477571172 — JOHN GREGORY BEAUCLAIR MD
Practice Location Address:
3838 12TH AVE N
FARGO, ND
58102-2931
Practice Phone: 701-234-4700
Practice Fax: 701-234-4757
1447271671 — TERRY M GRANLUND NP
Practice Location Address:
3838 12TH AVE N
FARGO, ND
58102-2931
Practice Phone: 701-234-4700
Practice Fax: 701-234-4757
1255353744 — JENNIFER L DEJONG NP
Practice Location Address:
3838 12TH AVE N
FARGO, ND
58102-2931
Practice Phone: 701-233-4700
Practice Fax: 701-234-4757
1649300450 — MRS. KATIE MARGARET LAYFIELD PT
Practice Location Address:
3838 12TH AVE N
FARGO, ND
58102-2931
Practice Phone: 701-234-4700
Practice Fax: 701-234-4757

Directions to “SANFORD MEDICAL CENTER FARGO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.