| Sanford Medical Center Fargo | |
|
1720 University Dr S Fargo ND 58103-4940 | |
| (701) 234-5000 | |
| (701) 234-2045 |
| Full Name | Sanford Medical Center Fargo |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1720 University Dr S, Fargo, North Dakota |
| Authorized Official Name and Position | Tony Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Medical Center Fargo Po Box 2168 Fargo ND 58107-2168 Ph: (701) 234-2119 | Sanford Medical Center Fargo 1720 University Dr S Fargo ND 58103-4940 Ph: (701) 234-5000 |
| NPI Number | 1144381328 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Medicare PECOS PAC ID | 8426967803 |
|---|---|
| Medicare Enrollment ID | O20091023000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144381328 | NPI | - | NPPES |
| 1C35HME | Other | MNBC | |
| 735547500 | Medicaid | MN | |
| 0230050 | Medicaid | SD | |
| 003160 | Other | NDBC | |
| 01820 | Medicaid | ND | |
| 1029817 | Other | PREFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 5068A (North Dakota) | Primary |
Insight Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Page Dr S Ste 202a, Fargo, ND 58103 Phone: 701-367-5985 Fax: 701-353-2080 | |
Optimal Behavioral Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3523 45th St S Ste 100, Fargo, ND 58104 Phone: 602-430-9646 | |
Carita R Shawchuck, Phd, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Westrac Dr S Ste 204, Fargo, ND 58103 Phone: 701-893-3419 Fax: 701-356-8801 | |
Fraser, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2902 University Dr S, Fargo, ND 58103 Phone: 701-232-3301 Fax: 701-237-5775 | |
Sanford Clinic North Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4134 | |
Shanti Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3481 University Dr S Ste 104, Fargo, ND 58104 Phone: 701-353-9238 Fax: 701-205-1221 | |
Path Minnesota, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Westrac Dr S Ste 400, Fargo, ND 58103 Phone: 701-280-9545 Fax: 701-451-9473 |