# SANFORD HEALTH NETWORK NORTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Medical Center Mayville, Sanford Mayville, Sanford Health Finley Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366478760
- **Authorized official:** SHANNON TEEMAN (SUPERVISOR)
- **Authorized official phone:** (701) 234-1094

## Contact information

- **Practice address:** 600 1ST ST SE, MAYVILLE, ND 58257-1518
- **Practice address phone:** (701) 788-4500
- **Practice address fax:** (701) 788-4545
- **Mailing address:** 600 1ST ST SE, MAYVILLE, ND 58257-1518
- **Mailing address phone:** (701) 788-4500
- **Mailing address fax:** (701) 788-4545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 01/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 079016800 | — | MN |
| 05 | — | 15664 | — | ND |
| 05 | — | 15666 | — | ND |
| 01 | — | DR5473 | RR MEDICARE | ND |