SANFORD MEDICAL CENTER FARGO NPI 1013077007
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Morris, MN

About SANFORD MEDICAL CENTER FARGO

Sanford Medical Center Fargo is a provider established in Morris, Minnesota operating as a Clinic/center with a focus in end-stage renal disease (esrd) treatment . The NPI number of Sanford Medical Center Fargo is 1013077007 and was assigned on December 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Sanford Dialysis Morris. The authorized official of this NPI record is Tony Lee Morrison (Vice President, Revenue Cycle)

NPI
1013077007
Provider NameSANFORD MEDICAL CENTER FARGO
Location Address400 E 1ST ST MORRIS, MN 56267
Location Phone(320) 589-2832
Mailing AddressPO BOX 2168 FARGO, ND 58107
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSANFORD DIALYSIS MORRIS
Other Name TypeDoing Business As (3)
Enumeration Date12-11-2006
Last Update Date06-25-2020



According to the Dialysis Facility Compare program data, Sanford Medical Center Fargo doesn't have a Quality of Patient Care Star Rating available at this time because not enough quality measure data to calculate a star rating.

The CLIA number of Sanford Medical Center Fargo is 24D2034120 registered as a "end stage renal disease dialysis" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Sanford Medical Center Fargo to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code261QE0700X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationEnd-Stage Renal Disease (ESRD) Treatment

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

SANFORD MEDICAL CENTER FARGO
400 E 1ST ST
MORRIS, MN
ZIP 56267
Phone: (320) 589-2832
Fax: (701) 234-2045

Get Directions


Mailing Address

SANFORD MEDICAL CENTER FARGO
PO BOX 2168
FARGO, ND
ZIP 58107
Phone: (320) 589-2832
Fax: (320) 589-9020


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name TONY LEE MORRISON
Authorized Official TitleVICE PRESIDENT, REVENUE CYCLE
Authorized Official Phone(605) 328-8380

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
Not Available - Not enough quality measure data to calculate a star rating.
Dialysis Facility TypeNon-Profit
Is it part of a chain?Yes
Corporate NameSANFORD HEALTH
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
6
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
No
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date06-24-2002

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013077007 is:

CLIA Number24D2034120
Facility TypeEND STAGE RENAL DISEASE DIALYSIS
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4C29HMEOTHER (01)MNBC
1018MEDICAID (05)ND
000026OTHER (01)NDBC
360419500MEDICAID (05)MN

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013077007
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 4 + 0 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1013077007 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184619330 JACKIE MARIE WILT PHARM.D
Individual
Pharmacist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7679
1821050360 JAMES W GREEN MD
Individual
Orthopaedic Surgery400 E 1ST ST
MORRIS, MN 56267
(320) 589-1313
1174541247 CHRISTOPHER ARNOLD WANNER M.D,
Individual
Family Medicine400 E 1ST ST
MORRIS, MN 56267
(320) 589-1313
1649283730 OLYN R WERNSING MD
Individual
Family Medicine400 E 1ST ST
MORRIS, MN 56267
(320) 589-1313
1407956675 FRANCINE SCHAPIRO
Individual
Physical Therapist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7658
1659471811 CHANDEL DIETZ
Individual
Physical Therapist400 E 1ST ST
MORRIS, MN 56267
(320) 589-1313
1073682597 CARA ANN NACHBOR C-FNP
Individual
Nurse Practitioner400 E 1ST ST
MORRIS, MN 56267
(320) 589-1313
1073651642MR. STEVEN EDWARD LIENEMANN RPH
Individual
Pharmacist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7679
1477718054 RICKY A BOEHM RPH., C.D.M.
Individual
Pharmacist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7679
1235466897 KRISTI KAY NOHL OTR
Individual
Occupational Therapist400 E 1ST ST
MORRIS, MN 56267
(320) 589-1313
1245531342 EVAN B VARGA RPH
Individual
Pharmacist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7645
1720360092DR. THOMAS HAROLD CAZA PHARM.D.,RPH
Individual
Pharmacist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7679
1689924870 SHARON MURIEL STOCK MS, CCC-SLP
Individual
Speech-Language Pathologist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7658
1639279805 LORI JEAN SCHMIDT
Individual
Occupational Therapist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7658
1639314594 KARLA J SUNDHEIM MA, LMFT
Individual
Marriage & Family Therapist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7625
1194043729 HEIDI MARIE ASMUS MS,CCC-SLP
Individual
Speech-Language Pathologist400 E 1ST ST
MORRIS, MN 56267
(320) 589-1313
1699888743 LORI J REIMERS P.T.
Individual
Physical Therapist400 E 1ST ST
MORRIS, MN 56267
(763) 464-0146
1366859456 ALYSSA KATE THOOFT R.D.
Individual
Dietitian, Registered400 E 1ST ST
MORRIS, MN 56267
(320) 589-1313
1366804221 ANGELINA LEE MA, LMFT
Individual
Marriage & Family Therapist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7625
1588062707 ASHLEY JOY BERGER LMFT
Individual
Marriage & Family Therapist400 E 1ST ST
MORRIS, MN 56267
(320) 589-7625

Frequently Asked Questions

What is SANFORD MEDICAL CENTER FARGO NPI number?

The NPI number assigned to SANFORD MEDICAL CENTER FARGO is 1013077007, registered as an "organization" on December 11, 2006

Where is SANFORD MEDICAL CENTER FARGO located?

The provider is located at 400 E 1st St Morris, Mn 56267 and the phone number is (320) 589-2832

What kind of medical provider is SANFORD MEDICAL CENTER FARGO?

This medical organization specializes in Clinic/Center with a focus in End-Stage Renal Disease (ESRD) Treatment

What insurance does SANFORD MEDICAL CENTER FARGO accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

What is SANFORD MEDICAL CENTER FARGO CLIA number?

The provider's CLIA number is 24D2034120 for a "end stage renal disease dialysis" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

The NPI record of SANFORD MEDICAL CENTER FARGO was last updated on December 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]