SANFORD HEALTH 621 DEMERS AVE CLINIC
NPI 1366722654
Family Medicine in East Grand Forks, MN

Active since August 18, 2011
621 DEMERS AVE, EAST GRAND FORKS, MN 56721(218) 773-5800 Get Directions Write a Review

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

About Sanford Health 621 Demers Ave Clinic NPPES

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

SANFORD HEALTH 621 DEMERS AVE CLINIC (NPI 1366722654) is a healthcare organization registered as a family medicine in East Grand Forks, Minnesota and active in the NPI registry since August 2011. The organization lists Martha Leclerc, Vice President, as its authorized official.

NPPES Registry Identity

NPI1366722654
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANFORD MEDICAL CENTER FARGO
Location Address621 DEMERS AVEEast Grand Forks, MN 56721-1812
Mailing Address621 Demers AveEast Grand Forks, MN 56721-1812 · (218) 773-5800
Organization SubpartNo
Authorized OfficialMartha LeclercVice President · (701) 234-6248
Enumeration DateAugust 18, 2011
Last NPPES UpdateNovember 27, 2023
NPI 1366722654 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.
621 DEMERS AVE, East Grand Forks, MN 56721

Other Names 1

Doing Business AsSanford Health 621 Demers Ave 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

Other Providers at the Same Location NPPES 10

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

Family Medicine
621 DEMERS AVE
EAST GRAND FORKS, MN 56721
Family Medicine
621 DEMERS AVE
EAST GRAND FORKS, MN 56721
Physical Therapist
621 DEMERS AVE
EAST GRAND FORKS, MN 56721
Nurse Practitioner
621 DEMERS AVE
EAST GRAND FORKS, MN 56721
Physical Therapist
621 DEMERS AVE
EAST GRAND FORKS, MN 56721
Physician Assistant (Medical)
621 DEMERS AVE
EAST GRAND FORKS, MN 56721
Physical Therapist
621 DEMERS AVE
EAST GRAND FORKS, MN 56721
Dietitian, Registered
621 DEMERS AVE
EAST GRAND FORKS, MN 56721

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 Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1366722654. It was assigned to this organization in the NPPES registry on August 18, 2011. The provider is doing business as Sanford Health 621 Demers Ave Clinic.

Where is Sanford Medical Center Fargo located?

Sanford Medical Center Fargo is located at 621 Demers Ave, East Grand Forks, MN 56721. The listed phone number is (218) 773-5800.

What is Sanford Medical Center Fargo's specialty?

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

When was this NPI record last updated?

The NPPES record for Sanford Medical Center Fargo 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.