| Sanford Clinic North | |
|
1412 Main Street Hawley MN 56549-0746 | |
| (218) 483-3564 | |
| (218) 483-3567 |
| Full Name | Sanford Clinic North |
|---|---|
| Speciality | Family Medicine |
| Location | 1412 Main Street, Hawley, Minnesota |
| Authorized Official Name and Position | Martha K Leclerc (VP) |
| Authorized Official Contact | 7012346248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Clinic North 720 4th St N Po Box 2010 Fargo ND 58122-0605 Ph: (218) 483-3564 | Sanford Clinic North 1412 Main Street Hawley MN 56549-0746 Ph: (218) 483-3564 |
| NPI Number | 1710909304 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710909304 | NPI | - | NPPES |
| 428716900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sanford Medical Center Fargo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 Main Street, Hawley, MN 56549 Phone: 218-483-3564 |