# SANFORD CLINIC NORTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford North Fargo Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194751594
- **Authorized official:** MARTHA K LECLERC (VP)
- **Authorized official phone:** (701) 234-6248

## Contact information

- **Practice address:** 2601 BROADWAY N, FARGO, ND 58102-6704
- **Practice address phone:** (701) 234-2900
- **Practice address fax:** (701) 234-2996
- **Mailing address:** 2601 BROADWAY N, FARGO, ND 58102-6704
- **Mailing address phone:** (701) 234-2900
- **Mailing address fax:** (701) 234-2996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 11/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 027813100 | — | MN |