SANFORD MEDICAL CENTER FARGO
NPI 1386099026
Nurse Practitioner - Occupational Health in East Grand Forks, MN
NPI Status: Active since May 02, 2016
Contact Information
625 DEMERS AVE
EAST GRAND FORKS, MN
ZIP 56721
Phone: (218) 773-5858
Fax: (218) 773-5841
- Organization
- Nurse Practitioner
- Occupational Health
- Accepts Insurance
- CLIA Number: 35D2068807
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 02-03-2027
About SANFORD MEDICAL CENTER FARGO
This page provides the complete NPI Profile along with additional information for Sanford Medical Center Fargo, a provider established in East Grand Forks, Minnesota operating as a Nurse Practitioner, focusing in occupational health . The healthcare provider is registered in the NPI registry with number 1386099026 assigned on May 2016. The practitioner's primary taxonomy code is 363LX0106X. The provider is registered as an organization and their NPI record was last updated April 2026. The provider's
- NPI
- 1386099026
- Provider Legal Name
- SANFORD MEDICAL CENTER FARGO
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 625 DEMERS AVE EAST GRAND FORKS, MN 56721
- Location Phone
- (218) 773-5858
- Location Fax
- (218) 773-5841
- Mailing Address
- 2603 E BROADWAY AVE BISMARCK, ND 58501
- Mailing Phone
- (218) 773-5858
- Mailing Fax
- (218) 773-5841
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-02-2016
- Last Update Date
- 04-06-2026
- Code Navigator
A nurse practitioner (NP) like Sanford Medical Center Fargo is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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
Nurse Practitioner Occupational Health
- Taxonomy Code
- 363LX0106X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
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) |
|---|---|---|---|---|
| 1 | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
- BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $10,600 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,500 - HMO
- Sanford Individual TRUE $7,200 HSA Qualified - HMO
- Sanford Individual TRUE Standardized $2,000 - HMO
- Sanford Individual TRUE Standardized $6,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 35D2068807
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- February 04, 2025
- Certificate Expiration Date
- February 03, 2027
- Laboratory Director
- DR. HONGCHEN JIA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sanford Medical Center Fargo 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 1386099026, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386099026, enumerated as an "organization" on May 02, 2016.
The provider is located at 625 DEMERS AVE EAST GRAND FORKS, MN 56721 and the phone number is (218) 773-5858.
Nurse Practitioner with taxonomy code 363LX0106X and a focus in Occupational Health.
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota and Sanford. Please consult your insurance carrier or call the provider to verify.
