SANFORD HEALTH PARKERS PRAIRIE CLINIC
NPI 1306118039
Family Medicine in Parkers Prairie, MN

Active since January 26, 2012CLIA 24D0860262 · Accreditation
115 E SOO ST, PARKERS PRAIRIE, MN 56361(218) 338-4371 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • CLIA Number: 24D0860262
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 07-11-2027

About SANFORD HEALTH PARKERS PRAIRIE CLINIC

This page provides the complete NPI Profile along with additional information for Sanford Health Parkers Prairie Clinic, a primary care provider established in Parkers Prairie, Minnesota operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1306118039 assigned on January 2012. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Sanford Health Parkers Prairie 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 Parkers Prairie Clinic. The authorized official of this NPI record is Martha K Leclerc (Vice President)

NPI
1306118039 Verify this NPI
Provider Legal Name
SANFORD CLINIC NORTH
Other Organization Name
SANFORD HEALTH PARKERS PRAIRIE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
115 E SOO ST PARKERS PRAIRIE, MN 56361
Location Phone
(218) 338-4371
Mailing Address
115 E SOO ST PARKERS PRAIRIE, MN 56361
Mailing Phone
(218) 338-4371
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2012
Last Update Date
11-27-2023
Code Navigator

A primary care provider (PCP) like Sanford Health Parkers Prairie Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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 K 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
24D0860262
Facility Type
Community Clinic
Certificate Effective Date
July 12, 2025
Certificate Expiration Date
July 11, 2027
Laboratory Director
DR. ALEXEY HODKOFF
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Sanford Health Parkers Prairie 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.

Reviews for SANFORD HEALTH PARKERS PRAIRIE CLINIC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
115 E SOO ST
PARKERS PRAIRIE, MN 56361
Physician Assistant
115 E SOO ST
PARKERS PRAIRIE, MN 56361
Physician Assistant
115 E SOO ST
PARKERS PRAIRIE, MN 56361

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306118039, enumerated as an "organization" on January 26, 2012.

The provider is located at 115 E SOO ST PARKERS PRAIRIE, MN 56361 and the phone number is (218) 338-4371.

Family Medicine with taxonomy code 207Q00000X.