# SANFORD MEDICAL CENTER FARGO

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

## Provider details

- **NPI number:** 1952323974
- **Authorized official:** TONY LEE MORRISON (VP, REVENUE CYCLE)
- **Authorized official phone:** (605) 328-8380

## Contact information

- **Practice address:** 3838 12TH AVE N, FARGO, ND 58102-2931
- **Practice address phone:** (701) 234-4700
- **Practice address fax:** (701) 234-4747
- **Mailing address:** 2603 E BROADWAY AVE, BISMARCK, ND 58501-5107
- **Mailing address phone:** (701) 323-8307
- **Mailing address fax:** (701) 323-8747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/15/2024