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Organization
SANFORD CLINIC NORTH
Active
Organization
SANFORD CLINIC NORTH
Active
Other names
Sanford Health Oakes Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization
Contact information
Practice address
420 SOUTH 7TH STREET, OAKES, ND 58474-2024
(701) 234-2000
(701) 234-2045
Mailing address
420 SOUTH 7TH STREET, OAKES, ND 58474-2024
(701) 742-3267
(701) 742-3201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
NULL
207RX0202X
Medical Oncology Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01326001
BLUE SHIELD
ND
01
—
11742
BLUE CROSS
ND
05
—
12857
—
ND
05
—
5129
—
ND
01
—
CF8850
RAILROAD MEDICARE
ND
Enumeration date
02/14/2006
Last updated
11/27/2023
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