# SANFORD CLINIC NORTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Health Oakes Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366416737
- **Authorized official:** MARTHA K LECLERC (VP)
- **Authorized official phone:** (701) 234-6248

## Contact information

- **Practice address:** 420 SOUTH 7TH STREET, OAKES, ND 58474-2024
- **Practice address phone:** (701) 234-2000
- **Practice address fax:** (701) 234-2045
- **Mailing address:** 420 SOUTH 7TH STREET, OAKES, ND 58474-2024
- **Mailing address phone:** (701) 742-3267
- **Mailing address fax:** (701) 742-3201

## Taxonomy

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

- **Enumeration date:** 02/14/2006
- **Last updated:** 11/27/2023

## 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 |