SANFORD CHILDREN'S SOUTHWEST CLINIC
NPI 1942580246
Pediatrics in Fargo, ND

NPI Status: Active since August 18, 2011

Contact Information

2701 13TH AVE S
FARGO, ND
ZIP 58103
Phone: (701) 234-3600

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  • Organization
  • Pediatrics
  • CLIA Number: 35D0408445
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 06-25-2027

About SANFORD CHILDREN'S SOUTHWEST CLINIC

This page provides the complete NPI Profile along with additional information for Sanford Children's Southwest Clinic, a pediatrician established in Fargo, North Dakota operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1942580246 assigned on August 2011. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Sanford Children's Southwest Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Sanford Children's Southwest Clinic. The authorized official of this NPI record is Martha Leclerc (Vice President)

NPI
1942580246
Provider Legal Name
SANFORD MEDICAL CENTER FARGO
Other Organization Name
SANFORD CHILDREN'S SOUTHWEST CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2701 13TH AVE S FARGO, ND 58103
Location Phone
(701) 234-3600
Mailing Address
2701 13TH AVE S FARGO, ND 58103
Mailing Phone
(701) 234-3600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2011
Last Update Date
11-27-2023
Code Navigator

A pediatrician like Sanford Children's Southwest Clinic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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)
1207Q00000XAllopathic & 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARTHA LECLERC

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(701) 234-6248

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
35D0408445
Facility Type
Community Clinic
Certificate Effective Date
June 26, 2025
Certificate Expiration Date
June 25, 2027
Laboratory Director
DR. ANIL CHOKKALLA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Sanford Children's Southwest 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942580246, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 1 + 0 + 8 + 0 + 2 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1942580246.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pharmacist
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Nurse Practitioner (Pediatrics)
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pharmacy (Community/Retail Pharmacy)
2701 13TH AVE S
FARGO, ND 58103
Pharmacy (Clinic Pharmacy)
2701 13TH AVE S
FARGO, ND 58103
Nurse Practitioner (Pediatrics)
2701 13TH AVE S
FARGO, ND 58103
Nurse Practitioner (Pediatrics)
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103
Pediatrics
2701 13TH AVE S
FARGO, ND 58103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942580246, enumerated as an "organization" on August 18, 2011.

The provider is located at 2701 13TH AVE S FARGO, ND 58103 and the phone number is (701) 234-3600.

Pediatrics with taxonomy code 208000000X.