NPIMap

Sanford Medical Center Fargo

Organization Active NPI Orthopaedic Surgery Physician · Fargo, ND

NPI 1154601482 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1154601482
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
SANFORD MEDICAL CENTER FARGO
Practice address
2301 25TH St S
Suite a
Fargo, ND 58103-6104
Phone
(701) 237-9712
NPI assigned
Aug 18, 2011
Organization subpart
No

Authorized official

Name
Martha Leclerc
Title
Vice President
Phone
(701) 234-6248

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Bemidji Same Day Surgery (71 organizations share this tax ID)

Locations

300 45th St S
Ste 310
Fargo, ND 58103

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes
Sports Medicine (Orthopaedic Surgery) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207XX0005X

Addresses

Primary practice location

2301 25TH St S
Suite a
Fargo, ND 58103-6104

Mailing address

2301 25TH St S
Suite a
Fargo, ND 58103-6104
Phone (701) 237-9712

Other names

  • Sanford Orthopedics Sports Medicine Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Other providers in Fargo, ND

All providers in Fargo, ND · Orthopaedic Surgery Physician in North Dakota

Sources for this page

Verify at the official NPI Registry.