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SANFORD HAWLEY CLINIC
NPI 1710909304
Family Medicine in Hawley, MN

Active since July 24, 2006CLIA 24D0651704 · Waiver
1412 MAIN STREET, HAWLEY, MN 56549(218) 483-3564(218) 483-3567 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sanford Hawley Clinic NPPES

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

SANFORD HAWLEY CLINIC (NPI 1710909304) is a healthcare organization registered as a family medicine in Hawley, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Martha K Leclerc, Vp, as its authorized official.

NPPES Registry Identity

NPI1710909304
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANFORD CLINIC NORTH
Location Address1412 MAIN STREETHawley, MN 56549-0746
Mailing Address720 4th St N, Po Box 2010Fargo, ND 58122-0605 · (218) 483-3564 · Fax (218) 483-3567
Phone(218) 483-3564
Fax(218) 483-3567
Organization SubpartNo
Authorized OfficialMartha K LeclercVp · (701) 234-6248
Enumeration DateJuly 24, 2006
Last NPPES UpdateNovember 27, 2023
✔ NPI 1710909304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
1412 MAIN STREET, Hawley, MN 56549
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Other Names 1

Doing Business AsSanford Hawley Clinic

Other Identifiers 1

Medicaid428716900MN

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0651704

Sanford Hawley Clinic · Hawley, MN
Active · expires Jun 6, 2028
CLIA Number24D0651704
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorCourtney N. Whiteaker
Laboratory Phone(218) 483-3564
Laboratory LocationSanford Hawley Clinic1412 Main Street, Hawley, MN 56549
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

TABITHA M HASS PA-C
Physician Assistant
1412 MAIN STREET
HAWLEY, MN 56549
Clay County (218) 483-3567
CARRIE LYNNE HOLT DNP
Nurse Practitioner (Family)
1412 MAIN STREET
HAWLEY, MN 56549
Clay County (218) 483-3564
HAROLD J HERBST PA-C
Physician Assistant (Medical)
1412 MAIN STREET
HAWLEY, MN 56549
Clay County (218) 483-3564
SANFORD MEDICAL CENTER FARGO
Family Medicine
1412 MAIN STREET
HAWLEY, MN 56549
Clay County (218) 483-3564

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 Clinic North's NPI number?

The NPI number for Sanford Clinic North is 1710909304. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as Sanford Hawley Clinic.

Where is Sanford Clinic North located?

Sanford Clinic North is located at 1412 Main Street, Hawley, MN 56549. The listed phone number is (218) 483-3564.

What is Sanford Clinic North's specialty?

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

Does Sanford Clinic North hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0651704) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sanford Clinic North 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.