SANFORD HEALTH JAMESTOWN CLINIC
NPI 1124308465
Internal Medicine in Jamestown, ND

NPI Status: Active since August 18, 2011

Contact Information

904 5TH AVE NE
JAMESTOWN, ND
ZIP 58401
Phone: (701) 253-4000

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  • Organization
  • Internal Medicine
  • CLIA Number: 35D0944756
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 11-14-2025

About SANFORD HEALTH JAMESTOWN CLINIC

This page provides the complete NPI Profile along with additional information for Sanford Health Jamestown Clinic, an internist established in Jamestown, North Dakota operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1124308465 assigned on August 2011. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Sanford Health Jamestown Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Sanford Health Jamestown Clinic. The authorized official of this NPI record is Martha Leclerc (Vice President)

NPI
1124308465
Provider Legal Name
SANFORD MEDICAL CENTER FARGO
Other Organization Name
SANFORD HEALTH JAMESTOWN CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
904 5TH AVE NE JAMESTOWN, ND 58401
Location Phone
(701) 253-4000
Mailing Address
904 5TH AVE NE JAMESTOWN, ND 58401
Mailing Phone
(701) 253-4000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2011
Last Update Date
11-27-2023
Code Navigator

An internist like Sanford Health Jamestown Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TP0814XBehavioral Health & Social Service Providers

Psychologist
Psychoanalysis

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARTHA LECLERC

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(701) 234-6248

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
35D0944756
Facility Type
Community Clinic
Certificate Effective Date
November 15, 2023
Certificate Expiration Date
November 14, 2025
Laboratory Director
DR. ANGELA J. WOOD
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Sanford Health Jamestown Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124308465, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 6 + 0 + 1 + 6 + 4 + 1 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1124308465.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
904 5TH AVE NE
JAMESTOWN, ND 58401
Family Medicine
904 5TH AVE NE
JAMESTOWN, ND 58401
Family Medicine
904 5TH AVE NE
JAMESTOWN, ND 58401
Psychologist (Psychoanalysis)
904 5TH AVE NE
JAMESTOWN, ND 58401
Family Medicine
904 5TH AVE NE
JAMESTOWN, ND 58401
Physical Therapist
904 5TH AVE NE
JAMESTOWN, ND 58401
Orthopaedic Surgery
904 5TH AVE NE
JAMESTOWN, ND 58401
Dietary Manager
904 5TH AVE NE
JAMESTOWN, ND 58401
Physician Assistant (Surgical)
904 5TH AVE NE
JAMESTOWN, ND 58401
Physical Therapist
904 5TH AVE NE
JAMESTOWN, ND 58401
Physical Therapist
904 5TH AVE NE
JAMESTOWN, ND 58401
Physical Therapist
904 5TH AVE NE
JAMESTOWN, ND 58401
Family Medicine
904 5TH AVE NE
JAMESTOWN, ND 58401
Family Medicine
904 5TH AVE NE
JAMESTOWN, ND 58401
Nurse Practitioner
904 5TH AVE NE
JAMESTOWN, ND 58401
Chiropractor
904 5TH AVE NE
JAMESTOWN, ND 58401
Internal Medicine
904 5TH AVE NE
JAMESTOWN, ND 58401
Chiropractor
904 5TH AVE NE
JAMESTOWN, ND 58401
Physical Therapist
904 5TH AVE NE
JAMESTOWN, ND 58401
Nurse Practitioner (Occupational Health)
904 5TH AVE NE
JAMESTOWN, ND 58401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124308465, enumerated as an "organization" on August 18, 2011.

The provider is located at 904 5TH AVE NE JAMESTOWN, ND 58401 and the phone number is (701) 253-4000.

Internal Medicine with taxonomy code 207R00000X.