Organization · Type 2 NPI

Sanford Clinic North

Rural Health Clinic/Center · Lidgerwood, ND

NPI number 1255348280 Active

Practice location

21 Wiley Avenue South
Lidgerwood, ND 58053-4001

Call (701) 538-4189 Map

Fax (701) 538-4319

Mailing address

720 Fourth Street S
Fargo, ND 58122-0605

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Southeast Therapy Services IncPhysical Therapy Clinic/Center Lidgerwood, ND NPI 1619986601

NPI record

NPI: 1255348280
Entity type: Organization (Type 2)
Issued: Aug 2, 2006
Last updated: Nov 27, 2023
Status: Active

Other names

<unavail>
Sanford Health Lidgerwood Clinic · doing business as
Sanford Health Lidgerwood Clinic · doing business as

Authorized official

Martha K Leclerc
VP
(701) 234-6248

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255348280

Sanford Clinic North's National Provider Identifier is 1255348280, issued on Aug 2, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lidgerwood, ND. The record was last updated on Nov 27, 2023.