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Organization
SANFORD MEDICAL CENTER FARGO
Active
Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford South University Eye Center & Optical, Sanford Health Detroit Lakes MRI, Sanford 1717 Medical Building, Sanford Hankinson Clinic, Sanford Health Hillsboro Clinic, Sanford Health 625 Demers Ave Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VP, CHIEF REVENUE CYCLE OFFICER)
(605) 328-8380
Entity
Organization
Contact information
Practice address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4445
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370579402
FEDERAL WORKERS COMP
ND
01
—
DR6518
RR MEDICARE
MN
01
—
DR6521
RR MEDICARE
ND
Enumeration date
05/26/2011
Last updated
07/21/2026
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