SANFORD NORTH FARGO CLINIC – NPI #1114207412
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SANFORD NORTH FARGO CLINIC is a provider located in FARGO, ND. NPPES has assigned the NPI number 1114207412 to SANFORD NORTH FARGO CLINIC on August 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SANFORD NORTH FARGO CLINIC” is a dba name, the actual legal business name for this organization is SANFORD MEDICAL CENTER FARGO. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANFORD NORTH FARGO CLINIC below.

NPI Profile for
SANFORD MEDICAL CENTER FARGO

NPI Number
1114207412
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SANFORD MEDICAL CENTER FARGO
Doing Business As (dba): SANFORD NORTH FARGO CLINIC
Primary location
2601 BROADWAY N
FARGO, ND 58102-6704
Phone: (701) 234-2900 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARTHA LECLERC
VICE PRESIDENT
Phone: (701) 234-6248
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669