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SANFORD BEMIDJI BLACKDUCK CLINIC
NPI 1831130921
Family Medicine in Blackduck, MN

Active since June 09, 2006CLIA 24D0406578 · Accreditation
81 1ST STREET NW, BLACKDUCK, MN 56630(218) 835-4222(218) 835-5837 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sanford Bemidji Blackduck Clinic NPPES

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

SANFORD BEMIDJI BLACKDUCK CLINIC (NPI 1831130921) is a healthcare organization registered as a family medicine in Blackduck, Minnesota and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through February 28, 2028 and lists Martha K Leclerc, Vp, as its authorized official.

NPPES Registry Identity

NPI1831130921
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANFORD CLINIC NORTH
Location Address81 1ST STREET NWBlackduck, MN 56630
Mailing Address720 4th St N, Po Box 2010Fargo, ND 58122-0605 · (218) 835-4222 · Fax (218) 835-5837
Phone(218) 835-4222
Fax(218) 835-5837
Organization SubpartNo
Authorized OfficialMartha K LeclercVp · (701) 234-6248
Enumeration DateJune 9, 2006
Last NPPES UpdateNovember 27, 2023
✔ NPI 1831130921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

81 1ST STREET NW, Blackduck, MN 56630
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Other Names 1

Doing Business AsSanford Bemidji Blackduck Clinic

Other Identifiers 1

Medicaid939721300MN

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 Accreditation 24D0406578

Sanford Blackduck Clinic · Blackduck, MN
Active · expires Feb 28, 2028
CLIA Number24D0406578
Laboratory TypePbb Clinic
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorMarcy Hanson
Laboratory Phone(218) 835-4222
Laboratory LocationSanford Blackduck Clinic81 1st Street NW, Blackduck, MN 56630
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 1831130921. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as Sanford Bemidji Blackduck Clinic.

Where is Sanford Clinic North located?

Sanford Clinic North is located at 81 1st Street NW, Blackduck, MN 56630. The listed phone number is (218) 835-4222.

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 Accreditation (number 24D0406578) is associated with this NPI, valid through February 28, 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 with the weekly NPPES data releases published by CMS.