Sanford Clinic North
Pediatrics
Sanford Clinic North is a Fargo, North Dakota based Pediatric center with medical specialization in
General Pediatrics. Sanford Clinic North is doing business as
Sanford Children's Southwest Clinic.
It is located at
2701 13th Ave S, Fargo, North Dakota - 58103-3602. They can be contacted on phone at
701-234-3600 and fax number 701-234-3528.
NPI number (Unique professional ID) for Sanford Clinic North is
1033147046 which was assigned by NPPES on 29 Jun, 2006 and it was last updated on 20 Nov, 2019.
Sanford Clinic North is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Sanford Clinic North basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Sanford Clinic North |
|---|
| Other Name : | Sanford Children's Southwest Clinic |
|---|
Business Address:
Sanford Clinic North address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2701 13th Ave S
Fargo, ND, 58103-3602
United States |
|---|
| Phone Number : | 701-234-3600 |
|---|
| Fax Number : | 701-234-3528 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033147046 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Jun, 2006 |
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| Last Updated On : | 20 Nov, 2019 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Marthak Leclerc |
|---|
| Official Title or Position : | VP |
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| Phone Number : | 701-234-6248 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sanford Clinic North are as mentioned. Primary taxonomy code for Sanford Clinic North is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207Q00000X | Family Medicine | No | | |
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Sanford Clinic North such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 086712800 | MEDICAID | MN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
CONNECT
(CONNECT URL) | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.1068.1 | | OTHER
Other
CMS esMD eMDR |
| 2720 DUNDEE RD # 302,
NORTHBROOK, IL, 60062-2609
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2701 13th Ave S
Fargo, ND, 58103-3602
United States |
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| Phone Number : | 701-234-3600 |
|---|
| Fax Number : | 701-234-3528 |
|---|
Business Location:
Patients can refer following map for directions to
Sanford Clinic North practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.