NPIMap

Sanford Clinic

Organization Active NPI Diagnostic Radiology Physician · Fargo, ND

NPI 1306641345 · NPPES record last updated Feb 13, 2026

Key facts

NPI
1306641345
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
SANFORD CLINIC
Practice address
4820 23Rd Ave S
Fargo, ND 58104-9137
Phone
(056) 312-4160
NPI assigned
Feb 14, 2025
Organization subpart
No

Authorized official

Name
Tony Lee Morrison
Title
VP, Revenue Cycle
Phone
(605) 328-8380

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 30

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 30

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 1,108

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,108

Medicare participation

Medicare fee-for-service enrollment
Enrolled (17 enrollments) in MN, OK, ND, AZ, WI, AL, MO, CA, WA, MI, TN, IN, LA, FL, CO, NJ, TX

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Luther Memorial Home
Mayville, ND · CCN 355040		 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2020
Aug 1, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040115000943 MN Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 113 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prior Lake, MN; Slayton, MN; Tracy, MN; Walker, MN; Windom, MN; Worthington, MN; Stillwater, MN; Luverne, MN…
O20090820000233 OK Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Oklahoma City, OK; Owasso, OK
O20110908001758 ND Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 94 practitioners
2 other NPIs on this enrollment
Practice locations: Forman, ND; Fargo, ND
O20251113000851 AZ Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gilbert, AZ; Marana, AZ; Mesa, AZ; Phoenix, AZ; Scottsdale, AZ
O20251205000691 WI Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 5 practitioners
Practice locations: Franklin, WI; Mequon, WI; New Berlin, WI; Rhinelander, WI; River Hills, WI
O20251223001526 AL Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 13 practitioners
Practice locations: Birmingham, AL; Vestavia Hills, AL; Vestavia, AL; Mountain BRK, AL; Decatur, AL; Cullman, AL; Chelsea, AL
O20251230001985 MO Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Saint Louis, MO
O20260102000292 CA Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA; Los Altos, CA
O20260106001461 WA Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 3 practitioners
Practice locations: Seattle, WA; Tacoma, WA; Ridgefield, WA
O20260114000634 MI Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 1 practitioner
Practice locations: Northville, MI
O20260117000331 TN Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 16 practitioners
Practice locations: Signal Mountain, TN; Nashville, TN; Brentwood, TN; Franklin, TN; Lebanon, TN; Hermitage, TN
O20260211000345 IN Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 3 practitioners
Practice locations: Greentown, IN; Terre Haute, IN; Newburgh, IN
O20260216002764 LA Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA
O20260217000951 FL Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
Practice locations: Riverview, FL; Winter Park, FL; Winter Garden, FL; Tampa, FL; Sunrise, FL; St Petersburg, FL; Palmetto Bay, FL; Palm Harbor, FL…
O20260218001689 CO Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO
O20260219000785 NJ Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 1 practitioner
Practice locations: Little Silver, NJ
O20260220000328 TX Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 22 practitioners
Practice locations: Houston, TX; Irving, TX; Longview, TX; McKinney, TX; New Braunfels, TX; San Antonio, TX; Southlake, TX; Austin, TX…

National Provider Directory

Locations (25 of 27)

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

750 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502

920 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-3390

1205 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2986

4820 23rd Ave S
Fargo, ND 58104

2502 W Elk Ave
Duncan, OK 73533
Phone (580) 252-9600

600 W Cedar St
Beresford, SD 57004
Phone (605) 763-3700

117 1st Ave W
Clark, SD 57225
Phone (605) 532-3676

1900 Grassland Dr
Ste 102
Mitchell, SD 57301
Phone (605) 995-6730

101 E Minnesota St
Ste 230
Rapid City, SD 57701
Phone (605) 343-7295

1508 W 22nd St
Ste 101
Sioux Falls, SD 57105
Phone (605) 328-3840

1309 W 17th St
#1
Sioux Falls, SD 57104
Phone (605) 328-6055

7220 W 41st St
Ste 101
Sioux Falls, SD 57106

2601 S Minnesota Ave
Ste 103
Sioux Falls, SD 57105
Phone (605) 306-6000

2400 W 49th St
Sioux Falls, SD 57105
Phone (605) 312-8700

5019 S Western Ave
Sioux Falls, SD 57108
Phone (605) 328-5244

3803 N 4th Ave
Sioux Falls, SD 57104
Phone (605) 339-6181

1210 W 18th St
Ste G02
Sioux Falls, SD 57104
Phone (605) 328-1848

1210 W 18th St
Ste 203
Sioux Falls, SD 57104
Phone (605) 328-6924

2001 S Summit Ave
#771
Sioux Falls, SD 57197
Phone (605) 274-5552

1301 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-2100

1305 W 18th St
Spc Clin
Sioux Falls, SD 57105
Phone (605) 331-3130

111 Washington Ave NW
Wagner, SD 57380
Phone (605) 384-3621

600 4th St NE
Watertown, SD 57201
Phone (605) 882-1591

891 14th St SW
Watertown, SD 57201
Phone (605) 886-8471

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0202X Yes

Addresses

Primary practice location

4820 23Rd Ave S
Fargo, ND 58104-9137

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other names

  • Sanford Virtual Health Services Doing business as

Electronic endpoints

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

Other providers in Fargo, ND

All providers in Fargo, ND · Diagnostic Radiology Physician in North Dakota

Sources for this page

Verify at the official NPI Registry.