SANFORD CHILDREN'S SOUTHWEST CLINIC
NPI 1033147046
Pediatrics in Fargo, ND

Active since June 29, 2006CLIA 35D0408445 · Accreditation
2701 13TH AVE S, FARGO, ND 58103(701) 234-3600(701) 234-3528 Get Directions Write a Review

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

About Sanford Children's Southwest Clinic NPPES

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

SANFORD CHILDREN'S SOUTHWEST CLINIC (NPI 1033147046) is a healthcare organization registered as a pediatrics in Fargo, North Dakota and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through June 25, 2027 and lists Martha K Leclerc, Vp, as its authorized official.

NPPES Registry Identity

NPI1033147046
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSANFORD CLINIC NORTH
Location Address2701 13TH AVE SFargo, ND 58103-3602
Mailing Address2701 13th Ave SFargo, ND 58103-3602 · (701) 234-3600 · Fax (701) 234-3528
Fax(701) 234-3528
Organization SubpartNo
Authorized OfficialMartha K LeclercVp · (701) 234-6248
Enumeration DateJune 29, 2006
Last NPPES UpdateNovember 27, 2023
NPI 1033147046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X
2701 13TH AVE S, Fargo, ND 58103

Other Names 1

Doing Business AsSanford Children's Southwest Clinic

Other Identifiers 1

Medicaid086712800MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 35D0408445

Sanford Children's Southwest Clinic · Fargo, ND
Active · expires Jun 25, 2027
CLIA Number35D0408445
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorDr. Anil Chokkalla
Laboratory Phone(701) 234-3674
Laboratory LocationSanford Children's Southwest Clinic2701 13th Ave S, Fargo, ND 58103
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.

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.

Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pharmacist (Pediatrics)
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Nurse Practitioner (Pediatrics)
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pharmacist
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanford Clinic North's NPI number?

The NPI number for Sanford Clinic North is 1033147046. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Sanford Children's Southwest Clinic.

Where is Sanford Clinic North located?

Sanford Clinic North is located at 2701 13th Ave S, Fargo, ND 58103. The listed phone number is (701) 234-3600.

What is Sanford Clinic North's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Sanford Clinic North hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 35D0408445) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sanford Clinic North was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.