Sanford Medical Center Fargo
Organization Active NPI General Acute Care Hospital · Fargo, ND
NPI 1245519081 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1245519081
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- SANFORD MEDICAL CENTER FARGO
- Practice address
- 2990 Seter Parkway
Fargo, ND 58104-8750 - Phone
- (701) 234-8999
- NPI assigned
- Aug 10, 2011
- Organization subpart
- No
Authorized official
- Name
- Jeff Sandene
- Title
- Chief Financial Officer
- Phone
- (701) 234-6849
Owners & managing parties with NPI records 1
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 24
Related certifications (CCN) 3
Practitioners 1
-
Scott Brown, PT
Affiliated clinicians 1,401
-
Rebekah J Aakre, NP
-
Nabil Abouchala, MD
-
Nicole Y Abrahamson, APRN, CRNA
-
Mentor Ahmeti, M.D
-
Baha Alabid, MD
-
Stephen Thomas Aldred, PA-C
-
Tatsiana Aleksandrovich, M.D.
-
Usman Ali, M.D
-
Joann Sherry Almen, FNP-C
-
Daniel Almquist, M.D.
-
Jordan I Amatuegwu, M.D.
-
Nicole Lynn Amsbaugh, PA-C
-
Cole Amundson, DO
-
Brad C Anderson, DPM
Medicare Care Compare: Hospital
- Listed as
- Sanford Medical Center Fargo
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Hospital certification: CCN 350011
- Legal name
- SANFORD MEDICAL CENTER FARGO
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 13, 2014
- Beds
- 639
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 23, 1949 in ND
- Enrollment address
- 801 Broadway N
Fargo, ND 58102-3641 - Hospital subgroups
- General
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Allen Lundeen |
Corporate Director |
Dec 4, 2014 | |
| Marnie Lynn Ventling-Herrmann |
Corporate Officer |
Jan 1, 2024 | |
| Corporate Director |
Jan 1, 2022 | ||
| Tony Lee Morrison |
W-2 Managing Employee |
Jan 19, 2020 | |
| Brent Gerard Teiken |
Corporate Director |
Jul 3, 2012 | |
| Susan Drake Jarvis |
W-2 Managing Employee |
Jan 1, 2023 | |
| Kristin Kaye Herrmann |
W-2 Managing Employee | Apr 24, 2022 | |
| Jolyn Joy Munson |
W-2 Managing Employee |
Apr 17, 2025 | |
| Dana James Dykhouse |
Corporate Director |
Jan 1, 2024 | |
| Andrew Stewart North |
Corporate Officer |
Jan 1, 2020 | |
| Corporate Director |
Jan 1, 2017 | ||
| Stephanie Marie Herseth Sandlin |
Corporate Director |
Jan 1, 2024 | |
| William Joseph Gassen |
Corporate Officer |
Nov 23, 2020 | |
| Corporate Director |
Nov 23, 2020 | ||
| Douglas Marlin Griffin |
W-2 Managing Employee |
Sep 25, 2022 | |
| George Joseph Brown |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2025 | ||
| Wesley Owen Engbrecht |
Corporate Director |
Jan 1, 2021 | |
| Maureen Patricia McCausland |
Corporate Director |
Jan 1, 2025 | |
| Sanford |
5% Or Greater Indirect Ownership Interest | Nov 2, 2009 | 100% |
| Tiffany L Lawrence |
Corporate Officer |
Mar 3, 2022 | |
| W-2 Managing Employee |
Mar 3, 2022 | ||
| Thomas Richard Wenzel |
Corporate Director |
Jan 1, 2025 | |
| David Jonathan Shulkin |
Corporate Director |
Jan 1, 2024 | |
| Neil Leslie Gulsvig |
Corporate Director |
Mar 28, 2019 | |
| Kevin Victor Schieffer |
Corporate Director |
Jan 1, 2025 | |
| Lauris Nelson Molbert |
Corporate Officer |
Jan 1, 2024 | |
| Corporate Director |
Jan 1, 2021 | ||
| Nicholas Wayne Olson |
W-2 Managing Employee |
Apr 8, 2024 | |
| Sanford North |
5% Or Greater Direct Ownership Interest | Mar 1, 2011 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060425000776 | ND | Part a Provider - Hospital | 8426967803 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Bemidji Same Day Surgery
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
2990 Seter Parkway
Fargo, ND 58104-8750
Mailing address
720 4TH St N
PO Box 2010
Fargo, ND 58122-0605
Phone (701) 234-2000
Other names
- Sanford Physical Therapy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.