SANFORD MOORHEAD CLINIC
NPI 1609156934
Internal Medicine in Moorhead, MN
NPI Status: Active since August 18, 2011
Contact Information
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
Phone: (701) 234-3200
- Organization
- Internal Medicine
- CLIA Number: 24D0041369
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 03-30-2026
About SANFORD MOORHEAD CLINIC
This page provides the complete NPI Profile along with additional information for Sanford Moorhead Clinic, an internist established in Moorhead, Minnesota operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1609156934 assigned on August 2011. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Sanford Moorhead Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sanford Moorhead Clinic. The authorized official of this NPI record is Martha Leclerc (Vice President)
- NPI
- 1609156934
- Provider Legal Name
- SANFORD MEDICAL CENTER FARGO
- Other Organization Name
- SANFORD MOORHEAD CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1301 8TH ST S MOORHEAD, MN 56560
- Location Phone
- (701) 234-3200
- Mailing Address
- 1301 8TH ST S MOORHEAD, MN 56560
- Mailing Phone
- (701) 234-3200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-18-2011
- Last Update Date
- 11-27-2023
- Code Navigator
An internist like Sanford Moorhead Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
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.
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
- 24D0041369
- Facility Type
- Community Clinic
- Certificate Effective Date
- March 31, 2024
- Certificate Expiration Date
- March 30, 2026
- Laboratory Director
- DR. TOSHI GHOSH
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sanford Moorhead 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 1 | 5 | 6 | 9 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 2 | 5 | 12 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 2 + 5 + 1 + 2 + 9 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1609156934 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
SANFORD CLINIC NORTH
Internal Medicine
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
ROBERT D CAMPBELL MD
Family Medicine
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
STEVEN K GLUNBERG MD
Family Medicine
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
ROSE MARY ELDRIDGE NP
Nurse Practitioner
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
BRIANNA J CRAWFORD PHD
Psychologist
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
DR. CAITLIN POLLESTAD PH.D, LP
Psychologist
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
AMANDA STOREY PSYD
Psychologist
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
YU-TING WUNG MD
Psychiatry & Neurology
(Psychiatry)
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
ALICIA LYNN ELLIOTT D.O.
Psychiatry & Neurology
(Psychiatry)
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
MICHAEL L SAND DO
Internal Medicine
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
MARY L RYMANOWSKI LICSW
Social Worker
(Clinical)
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
DR. TIFFANY ANN DOYLE M.D.
Psychiatry & Neurology
(Psychiatry)
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
CAROLE YVONNE HALONE LICSW
Social Worker
(Clinical)
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
EBONEE M RONNINGEN MSW, LCSW, LICSW
Social Worker
(Clinical)
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
MR. SAMIR GOLOS
Nurse Practitioner
(Psychiatric/Mental Health)
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
DR. JONATHAN CHARLES OLIVAS MD
Psychiatry & Neurology
(Psychiatry)
1301 8TH ST S
MOORHEAD, MN
ZIP 56560
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609156934, enumerated as an "organization" on August 18, 2011.
The provider is located at 1301 8TH ST S MOORHEAD, MN 56560 and the phone number is (701) 234-3200.
Internal Medicine with taxonomy code 207R00000X.
