1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Internal Medicine
  6. NPI Profile

SANFORD HEALTH EDGEWOOD VISTA CLINIC
NPI 1548540826
Internal Medicine - Geriatric Medicine in Fargo, ND

Active since August 18, 2011
4420 37TH AVE S, FARGO, ND 58104(701) 365-4746 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sanford Health Edgewood Vista Clinic NPPES

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

SANFORD HEALTH EDGEWOOD VISTA CLINIC (NPI 1548540826) is a healthcare organization registered as a geriatric medicine in Fargo, North Dakota and active in the NPI registry since August 2011. The organization lists Martha Leclerc, Vice President, as its authorized official.

NPPES Registry Identity

NPI1548540826
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameSANFORD MEDICAL CENTER FARGO
Location Address4420 37TH AVE SFargo, ND 58104-3400
Mailing Address4420 37th Ave SFargo, ND 58104-3400 · (701) 365-4746
Phone(701) 365-4746
Organization SubpartNo
Authorized OfficialMartha LeclercVice President · (701) 234-6248
Enumeration DateAugust 18, 2011
Last NPPES UpdateNovember 27, 2023
✔ NPI 1548540826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

4420 37TH AVE S, Fargo, ND 58104
Open in Google Maps ↗

Other Names 1

Doing Business AsSanford Health Edgewood Vista 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.

PROFESSIONAL REHABILITATION CENTER INC
Physical Therapist
4420 37TH AVE S
FARGO, ND 58104
Cass County (701) 451-9417
SANFORD CLINIC NORTH
Clinic/Center (Health Service)
4420 37TH AVE S
FARGO, ND 58104
Cass County (701) 365-4746
CINDY ZINK
Occupational Therapist (Gerontology)
4420 37TH AVE S, THERAPY ROOM
FARGO, ND 58104
Cass County (701) 365-8200
CARINGEDGE HOSPICE OF FARGO
Hospice Care, Community Based
4420 37TH AVE S
FARGO, ND 58104
Cass County (701) 365-8200
ALEX FONTAINE DPT
Physical Therapist
4420 37TH AVE S
FARGO, ND 58104
Cass County (701) 365-4771
HALEY ROBIN BALDOCK
Occupational Therapist
4420 37TH AVE S
FARGO, ND 58104
Cass County (701) 365-4771
EDGEWOOD FARGO SENIOR LIVING LLC
Alzheimer Center (Dementia Center)
4420 37TH AVE S
FARGO, ND 58104
Cass County (701) 365-8200
MATTHEW HUBER DPT
Physical Therapist
4420 37TH AVE S
FARGO, ND 58104
Cass County (701) 365-4771

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 1548540826. It was assigned to this organization in the NPPES registry on August 18, 2011. The provider is doing business as Sanford Health Edgewood Vista Clinic.

Where is Sanford Medical Center Fargo located?

Sanford Medical Center Fargo is located at 4420 37th Ave S, Fargo, ND 58104. The listed phone number is (701) 365-4746.

What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

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 with the weekly NPPES data releases published by CMS.