| Sanford Health Lamoure Clinic | |
|
100 1st Avenue Sw Suite 2 Lamoure ND 58458-7311 | |
| (701) 883-5048 | |
| (701) 883-5067 |
| Full Name | Sanford Health Lamoure Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 1st Avenue Sw, Lamoure, North Dakota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Health Lamoure Clinic Po Box 2168 Fargo ND 58107-2168 Ph: (701) 234-2119 | Sanford Health Lamoure Clinic 100 1st Avenue Sw Suite 2 Lamoure ND 58458-7311 Ph: (701) 883-5048 |
| NPI Number | 1164439196 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 11/29/2022 |
| Medicare PECOS PAC ID | 8426967803 |
|---|---|
| Medicare Enrollment ID | O20221212000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164439196 | NPI | - | NPPES |
| 5132 | Medicaid | ND | |
| 12857 | Medicaid | ND | |
| 1328001 | Other | ND | BLUE SHIELD |
| CF8850 | Other | ND | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Meritcare Lamoure Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 2nd Avenue Ne, Lamoure, ND 58458 Phone: 701-883-5383 Fax: 701-883-5113 | |
Family Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 1st Ave Sw, Lamoure, ND 58458 Phone: 701-271-3344 | |
Lamoure Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 1st Ave. Sw, Lamoure, ND 58458 Phone: 701-883-4260 Fax: 701-883-4266 |