Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Ellendale 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
141 MAIN STREET, ELLENDALE, ND 58436-7101
(701) 349-3331
(701) 349-3212
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
—
1332001
BLUE SHIELD
ND
05
—
5133
—
ND
01
—
CF8850
RAILROAD MEDICARE
—
Enumeration date
07/31/2006
Last updated
04/01/2025
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