Sanford Medical Center Fargo
May also be knows as Sanford Health Edgewood Vista Clinic
Geriatric Medicine (Internal Medicine) Physician in Fargo, ND(View on Map)
Legal Business Name
Sanford Medical Center Fargo
Also Known As
Sanford Health Edgewood Vista Clinic
NPI Number
1548540826
NPI Type
Organization
Enumeration Date
08/18/2011
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
4420 37TH AVE S
4420 37TH AVE S
City
Fargo
Fargo
State
ND
ND
Postal Code
58104-3400
58104-3400
Country
US
US
Telephone Number
(701) 365-4746
(701) 365-4746
Authorized Official
Name
Martha Leclerc
Title or Position
VICE PRESIDENT
Telephone Number
(701) 234-6248
Health Information Exchange
Endpoint Type
CONNECT
Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint Description
2.16.840.1.113883.3.1068.1
Use
Other
Content Type
Unknown
Affiliation
Y
Endpoint Location
2720 Dundee Rd # 302Northbrook, IL600622609US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/25/2019