SANFORD HEALTH FORMAN CLINIC
NPI 1073520003
Clinic/Center - Rural Health in Forman, ND

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

The NPI number for Sanford Medical Center Fargo is 1073520003. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Sanford Health Forman Clinic.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since August 02, 2006CLIA 35D0408194 · Waiver

336 MAIN STREET, FORMAN, ND 58032(701) 724-3221(701) 724-3222 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2022, Jun 26, 2020, Nov 20, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Sanford Health Forman Clinic NPPES

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

SANFORD HEALTH FORMAN CLINIC (NPI 1073520003) is a healthcare organization registered as a rural health in Forman, North Dakota and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1073520003

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSANFORD MEDICAL CENTER FARGO

Location Address336 MAIN STREETForman, ND 58032-0184

Mailing AddressPo Box 2168Fargo, ND 58107-2168 · (701) 234-2119

Phone(701) 724-3221

Fax(701) 724-3222

Organization SubpartNo

Authorized OfficialTony Lee MorrisonVice President, Revenue Cycle · (605) 328-8380

Enumeration DateAugust 2, 2006

Last NPPES UpdateNovember 29, 20224 updates tracked since enumeration

NPPES CertifiedNovember 29, 2022

✔ NPI 1073520003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

336 MAIN STREET, Forman, ND 58032

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Other Names 1

Doing Business AsSanford Health Forman Clinic

Other Identifiers 4

Other1331001ND · Blue Shield

Medicaid12857ND

Medicaid5128ND

OtherCF8850ND · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Security Health Plan.Insurance ›

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 Waiver 35D0408194

Sanford Health Forman Clinic · Forman, ND

Active · expires Feb 29, 2028

CLIA Number35D0408194

Laboratory TypePhysician Office

Certificate Effective DateMarch 1, 2026

Certificate Expiration DateFebruary 29, 2028

Laboratory DirectorKaylee Bretz

Laboratory Phone(701) 724-3221

Laboratory LocationSanford Health Forman Clinic336 Main St W, Forman, ND 58032

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES

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

SOUTHEAST THERAPY SERVICES INC

Clinic/Center (Physical Therapy)

336 MAIN STREET
FORMAN, ND 58032

Sargent County (701) 724-3221

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 Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1073520003. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Sanford Health Forman Clinic.

Where is Sanford Medical Center Fargo located?

Sanford Medical Center Fargo is located at 336 Main Street, Forman, ND 58032. The listed phone number is (701) 724-3221.

What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Sanford Medical Center Fargo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0408194) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sanford Medical Center Fargo accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Sanford Medical Center Fargo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanford Medical Center Fargo was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.