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SANFORD DIALYSIS FARGO
NPI 1821154253
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fargo, ND

Active since December 29, 2006CLIA 35D2340134 · Waiver
2801 UNIVERSITY DR S, FARGO, ND 58103(701) 234-8400 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2020, Nov 26, 2019 (2 updates tracked since 2019).

About Sanford Dialysis Fargo NPPES

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

SANFORD DIALYSIS FARGO (NPI 1821154253) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fargo, North Dakota and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Tony Lee Morrison, Vice President, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1821154253
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSANFORD MEDICAL CENTER FARGO
Location Address2801 UNIVERSITY DR SFargo, ND 58103-6029
Mailing AddressPo Box 2168Fargo, ND 58107-2168 · (701) 234-2119
Phone(701) 234-8400
Organization SubpartNo
Authorized OfficialTony Lee MorrisonVice President, Revenue Cycle · (605) 328-8380
Enumeration DateDecember 29, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2020
✔ NPI 1821154253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in ND · 5068A
2801 UNIVERSITY DR S, Fargo, ND 58103
Open in Google Maps ↗

Other Names 1

Doing Business AsSanford Dialysis Fargo

Other Identifiers 4

Other000026Ndbc
Other1466HLUMnbc
Medicaid1018ND
Medicaid160110500MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Security Health Plan.Insurance ›

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 35D2340134

Sanford Dialysis Fargo · Fargo, ND
Active · expires Mar 11, 2028
CLIA Number35D2340134
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorBrian Wittkop
Laboratory Phone(701) 234-8400
Laboratory LocationSanford Dialysis Fargo2801 S University Dr, Fargo, ND 58103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Sanford Dialysis I-94 (CMS certification number 352307), from CMS Care Compare.

Sanford Dialysis I-94

Dialysis facility · Fargo, ND
OwnershipNon-profit
ChainSanford Health
CMS Certification Number352307
ESRD NetworkNetwork 11
Hemodialysis Stations2
Medicare-Certified SinceOctober 19, 2022
Location5225 23rd Ave. S. Route #4492Fargo, ND 58104 · Cass County
Phone(701) 417-2520
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 16

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

SANFORD MEDICAL CENTER FARGO
Internal Medicine (Sleep Medicine)
2801 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-8400
AMY IVA STEVAHN APRN, CNP
Nurse Practitioner
2801 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-5673
HEIDI L SAARINEN NP
Nurse Practitioner
2801 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-5673
MELISSA MARIE THEIGE PA-C
Physician Assistant
2801 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-2000
TYSON NOEL WILLIAMS PA-C
Physician Assistant
2801 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-5673
ENRIQUE TOBIAS PADER MD
Psychiatry & Neurology (Sleep Medicine)
2801 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-5673
BRITTNEY D SMITH APRN, CNP
Nurse Practitioner
2801 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-5673
LEANN A WAGES CNS
Psychiatry & Neurology (Psychiatry)
2801 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 234-5673

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 1821154253. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Sanford Dialysis Fargo.

Where is Sanford Medical Center Fargo located?

Sanford Medical Center Fargo is located at 2801 University Dr S, Fargo, ND 58103. The listed phone number is (701) 234-8400.

What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Sanford Medical Center Fargo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2340134) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sanford Medical Center Fargo a Medicare-certified dialysis facility?

Yes. Sanford Dialysis I-94 is a Medicare-certified dialysis facility, certified since October 19, 2022.

What insurance does Sanford Medical Center Fargo accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Sanford Medical Center Fargo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.