SANFORD FARGO HOSPICE HOUSE
NPI 1013559905
Hospice Care, Community Based in Fargo, ND

Q: What is Sanford Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1013559905. It was assigned to this organization in the NPPES registry on October 11, 2019. The provider is doing business as Sanford Fargo Hospice House.

Q: What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Active since October 11, 2019CLIA Certified · 2 labs

801 BROADWAY N, FARGO, ND 58102(701) 234-5264 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 25, 2019, Oct 11, 2019 (2 updates tracked since 2019).

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About Sanford Fargo Hospice House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANFORD FARGO HOSPICE HOUSE (NPI 1013559905) is a healthcare organization registered as a hospice care, community based in Fargo, North Dakota and active in the NPI registry since October 2019. The organization holds 2 active CLIA laboratory certificates and lists Tony Lee Morrison, Senior Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013559905

Entity TypeOrganization

Primary Taxonomy251G00000X

Legal Business NameSANFORD MEDICAL CENTER FARGO

Location Address801 BROADWAY NFargo, ND 58102-3641

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 234-5264

Organization SubpartYesParent: Sanford

Authorized OfficialTony Lee MorrisonSenior Executive Director · (605) 328-8380

Enumeration DateOctober 11, 2019

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

✔ NPI 1013559905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies

Taxonomy Code251G00000X

801 BROADWAY N, Fargo, ND 58102

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Other Names 1

Doing Business AsSanford Fargo Hospice House

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 35D0655613

Sanford Medical Center Fargo Poc - Broadway · Fargo, ND

Active · expires Nov 3, 2026

CLIA Number35D0655613

Laboratory TypeHospital

Certificate Effective DateNovember 4, 2024

Certificate Expiration DateNovember 3, 2026

Laboratory DirectorDr. Anil Chokkalla

Laboratory Phone(701) 234-2481

Laboratory LocationSanford Medical Center Fargo Poc - Broadway801 Broadway N, Fargo, ND 58102

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 35D2187842

Sanford Fargo Hospice · Fargo, ND

Active · expires Jul 7, 2028

CLIA Number35D2187842

Laboratory TypeHospice

Certificate Effective DateJuly 8, 2026

Certificate Expiration DateJuly 7, 2028

Laboratory DirectorBrian Wittkop

Laboratory Phone(701) 234-7550

Laboratory LocationSanford Fargo Hospice801 North Broadway, Fargo, ND 58122

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH HOEPFNER

Speech-Language Pathologist