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SANFORD HEALTH LIDGERWOOD CLINIC
NPI 1255348280
Clinic/Center - Rural Health in Lidgerwood, ND

Active since August 02, 2006CLIA 35D0860715 · Waiver
21 WILEY AVENUE SOUTH, LIDGERWOOD, ND 58053(701) 538-4189(701) 538-4319 Get Directions Write a Review

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

Record update history: Nov 21, 2019, Feb 10, 2017 (2 updates tracked since 2017).

About Sanford Health Lidgerwood Clinic NPPES

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

SANFORD HEALTH LIDGERWOOD CLINIC (NPI 1255348280) is a healthcare organization registered as a rural health in Lidgerwood, North Dakota and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Martha K Leclerc, Vp, as its authorized official.

NPPES Registry Identity

NPI1255348280
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSANFORD CLINIC NORTH
Location Address21 WILEY AVENUE SOUTHLidgerwood, ND 58053-4001
Mailing Address720 Fourth Street SFargo, ND 58122-0605 · (701) 234-2000
Phone(701) 538-4189
Fax(701) 538-4319
Organization SubpartNo
Authorized OfficialMartha K LeclercVp · (701) 234-6248
Enumeration DateAugust 2, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
✔ NPI 1255348280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
21 WILEY AVENUE SOUTH, Lidgerwood, ND 58053
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Other Names 1

Doing Business AsSanford Health Lidgerwood Clinic

Other Identifiers 4

Medicaid12857ND
OtherCF8850ND · Railroad Medicare
Other1327001ND · Blue Shield
Medicaid5135ND

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 35D0860715

Sanford Lidgerwood Clinic · Lidgerwood, ND
Active · expires Nov 12, 2027
CLIA Number35D0860715
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorJoshua J. Helmer
Laboratory Phone(701) 538-4189
Laboratory LocationSanford Lidgerwood Clinic21 Wiley Ave S, Lidgerwood, ND 58053
CLIA data matches this NPI record on: Address 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)
21 WILEY AVENUE SOUTH
LIDGERWOOD, ND 58053
Richland County (701) 538-4189

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 1255348280. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Sanford Health Lidgerwood Clinic.

Where is Sanford Clinic North located?

Sanford Clinic North is located at 21 Wiley Avenue South, Lidgerwood, ND 58053. The listed phone number is (701) 538-4189.

What is Sanford Clinic North's specialty?

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

Does Sanford Clinic North hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0860715) is associated with this NPI, valid through November 12, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.