| Sanford West Fargo Clinic | |
|
1220 Sheyenne St West Fargo ND 58078-2637 | |
| (701) 234-4445 | |
| (701) 234-4393 |
| Full Name | Sanford West Fargo Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1220 Sheyenne St, West Fargo, North Dakota |
| 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 West Fargo Clinic 1220 Sheyenne St West Fargo ND 58078-2637 Ph: (701) 234-4445 | Sanford West Fargo Clinic 1220 Sheyenne St West Fargo ND 58078-2637 Ph: (701) 234-4445 |
| NPI Number | 1447295134 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447295134 | NPI | - | NPPES |
| 894516100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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