SANFORD NORTH FARGO CLINIC
NPI 1114207412
Family Medicine in Fargo, ND

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

The NPI number for Sanford Medical Center Fargo is 1114207412. It was assigned to this organization in the NPPES registry on August 18, 2011. The provider is doing business as Sanford North Fargo Clinic.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 18, 2011CLIA 35D0408301 · Accreditation

2601 BROADWAY N, FARGO, ND 58102(701) 234-2900 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sanford North Fargo Clinic NPPES

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

SANFORD NORTH FARGO CLINIC (NPI 1114207412) is a healthcare organization registered as a family medicine in Fargo, North Dakota and active in the NPI registry since August 2011. The organization holds an CLIA Accreditation certificate valid through December 5, 2027 and lists Martha Leclerc, Vice President, as its authorized official.

NPPES Registry Identity

NPI1114207412

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSANFORD MEDICAL CENTER FARGO

Location Address2601 BROADWAY NFargo, ND 58102-6704

Mailing Address2601 Broadway NFargo, ND 58102-6704 · (701) 234-2900

Phone(701) 234-2900

Organization SubpartNo

Authorized OfficialMartha LeclercVice President · (701) 234-6248

Enumeration DateAugust 18, 2011

Last NPPES UpdateNovember 27, 2023

✔ NPI 1114207412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2601 BROADWAY N, Fargo, ND 58102

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Other Names 1

Doing Business AsSanford North Fargo Clinic

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 35D0408301

Sanford North Fargo Clinic · Fargo, ND

Active · expires Dec 5, 2027

CLIA Number35D0408301

Laboratory TypeCommunity Clinic

Certificate Effective DateDecember 6, 2025

Certificate Expiration DateDecember 5, 2027

Laboratory DirectorDr. Yongsheng Ren

Laboratory Phone(701) 234-2992

Laboratory LocationSanford North Fargo Clinic2601 N Broadway Dr, Fargo, ND 58102

CLIA data matches this NPI record on: 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 16

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

TERRY A PETERSON PA-C

Physician Assistant