Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sanford Medical Center Fargo

Organization Family Medicine Physician · NPI 1831131234

Sanford Medical Center Fargo is a Family Medicine Physician in Mahnomen, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

410 4th St NW
Mahnomen, MN 56557-4208
Phone: (218) 935-2514
Fax: (218) 935-2720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1831131234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Morrison — Vice President, Revenue Cycle · (605) 328-8380
Other names Sanford Health Mahnomen Clinic; Sanford Health Mahnomen Clinic
NPI enumeratedJune 11, 2006
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing addressPo Box 2168, Fargo, ND 58107-2168

Other providers in Mahnomen