Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford LaMoure Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
100 1ST AVENUE SW, SUITE 2, LAMOURE, ND 58458-7311
(701) 883-5048
(701) 883-5067
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12857
—
ND
01
—
1328001
BLUE SHIELD
ND
05
—
5132
—
ND
01
—
CF8850
RAILROAD MEDICARE
ND
Enumeration date
08/02/2006
Last updated
05/15/2025
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