SANFORD HEALTH FORMAN CLINIC
NPI 1073520003
Clinic/Center - Rural Health in Forman, ND
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
Specialties & Licenses
Other Names 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sanford Health Forman Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,460Medicare enrollment records show 1,460 clinicians reassign Medicare billing to Sanford Health Forman Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 73
Nearest to this location (20)
See all 1,460Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NDFrequently 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.
Is Sanford Medical Center Fargo enrolled in Medicare?
Yes. Sanford Medical Center Fargo is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sanford Medical Center Fargo?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,460 clinicians in 73 Medicare specialties reassign their Medicare billing to Sanford Medical Center Fargo. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (264), Certified Registered Nurse Anesthetist (CRNA) (139) and Pediatric Medicine (93). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Sanford Health Forman Clinic · NPI 1073520003
Rural Health organization in Forman, North Dakota. Organization record, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1073520003 (Entity type: Organization)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Sanford Medical Center Fargo
- **Organization subpart:** No
- **Authorized official:** Tony Morrison, VICE PRESIDENT, REVENUE CYCLE
## Practice location
- **Address:** 336 MAIN STREET, Forman, ND 58032-0184
- **Phone:** (701) 724-3221 · **Fax:** (701) 724-3222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,460 clinicians in 73 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (264), Certified Registered Nurse Anesthetist (CRNA) (139), Pediatric Medicine (93); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1073520003/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2022
- **Other identifiers:** Other 1331001 (ND); Medicaid 12857 (ND); Medicaid 5128 (ND); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073520003) · Data from the CMS NPPES public registry.