| Sanford Clinic North | |
|
69 Highway 13 W Gwinner ND 58040-4127 | |
| (701) 678-2263 | |
| (701) 678-2063 |
| Full Name | Sanford Clinic North |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 69 Highway 13 W, Gwinner, North Dakota |
| Authorized Official Name and Position | Marth 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 Fourth Street North Fargo ND 58122-0605 Ph: (701) 234-2000 | Sanford Clinic North 69 Highway 13 W Gwinner ND 58040-4127 Ph: (701) 678-2263 |
| NPI Number | 1780690305 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780690305 | NPI | - | NPPES |
| 12857 | Medicaid | ND | |
| CF8850 | Other | ND | RAILROAD MEDICARE |
| 1330001 | Other | ND | BLUE SHIELD |
| 5130 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |