SANFORD HILLSBORO CLINIC
NPI 1114272028
Family Medicine in Hillsboro, ND

NPI Status: Active since July 17, 2012

Contact Information

315 E CALEDONIA AVE
HILLSBORO, ND
ZIP 58045
Phone: (701) 636-5311

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  • Organization
  • Family Medicine
  • CLIA Number: 35D0673496
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-31-2026

About SANFORD HILLSBORO CLINIC

This page provides the complete NPI Profile along with additional information for Sanford Hillsboro Clinic, a primary care provider established in Hillsboro, North Dakota operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1114272028 assigned on July 2012. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Sanford Hillsboro Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sanford Hillsboro Clinic. The authorized official of this NPI record is Martha K Leclerc (Vice President)

NPI
1114272028
Provider Legal Name
SANFORD CLINIC NORTH
Other Organization Name
SANFORD HILLSBORO CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
315 E CALEDONIA AVE HILLSBORO, ND 58045
Location Phone
(701) 636-5311
Mailing Address
PO BOX 639 HILLSBORO, ND 58045
Mailing Phone
(701) 636-5311
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2012
Last Update Date
11-27-2023
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A primary care provider (PCP) like Sanford Hillsboro Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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 K 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
35D0673496
Facility Type
Hospital
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
CHARLES FABIJANIC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sanford Hillsboro Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114272028
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212447404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 4 + 7 + 4 + 0 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1114272028 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578581146 TIMOTHY J LUITHLE MD
Individual
Family Medicine315 E CALEDONIA AVE
HILLSBORO, ND 58045
(701) 436-5311
1932510880 KRISTEN ANN SCHULZ PT
Individual
Physical Therapist315 E CALEDONIA AVE
HILLSBORO, ND 58045
(701) 636-3217
1013935600 ANN M OWENS PA-C
Individual
Physician Assistant315 E CALEDONIA AVE
HILLSBORO, ND 58045
(701) 436-5311
1265464259SANFORD HEALTH NETWORK NORTH
Organization
Clinic/Center (Rural Health)315 E CALEDONIA AVE
HILLSBORO, ND 58045
(701) 636-5311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114272028, enumerated in the NPI registry as an "organization" on July 17, 2012

The provider is located at 315 E Caledonia Ave Hillsboro, Nd 58045 and the phone number is (701) 636-5311

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 35D0673496 for a "hospital" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 17, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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