Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford South University Eye Center & Optical, Sanford 1717 Medical Building, Sanford Health Hillsboro Clinic, Sanford Health 625 Demers Ave Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TONY MORRISON (VP)
(605) 328-8380
Entity
Organization
Contact information
Practice address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4445
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370579402
FEDERAL WORKERS COMP
ND
01
—
DR6518
RR MEDICARE
MN
01
—
DR6521
RR MEDICARE
ND
Enumeration date
05/26/2011
Last updated
02/19/2026
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