| Sanford Medical Center Fargo | |
|
1412 Main Street Hawley MN 56549-0746 | |
| (218) 483-3564 | |
| Not Available |
| Full Name | Sanford Medical Center Fargo |
|---|---|
| Speciality | Family Medicine |
| Location | 1412 Main Street, Hawley, Minnesota |
| Authorized Official Name and Position | Martha Leclerc (VICE PRESIDENT) |
| Authorized Official Contact | 7012346248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Medical Center Fargo 1412 Main Street Po Box 746 Hawley MN 56549-0746 Ph: (218) 483-3564 | Sanford Medical Center Fargo 1412 Main Street Hawley MN 56549-0746 Ph: (218) 483-3564 |
| NPI Number | 1861772162 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861772162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sanford Clinic North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 Main Street, Hawley, MN 56549 Phone: 218-483-3564 Fax: 218-483-3567 |