SANFORD FARGO HOSPICE HOUSE
NPI 1366092801
Hospice Care, Community Based in Fargo, ND
NPI Status: Active since September 17, 2019
Contact Information
820 4TH ST N
FARGO, ND
ZIP 58102
Phone: (701) 234-7550
Fax: (701) 234-7559
- Organization
- Hospice Care, Community Based
- Accepts Insurance
- CLIA Number: 35D2187842
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 07-07-2026
About SANFORD FARGO HOSPICE HOUSE
This page provides the complete NPI Profile along with additional information for Sanford Fargo Hospice House, a provider established in Fargo, North Dakota operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1366092801 assigned on September 2019. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Sanford Fargo Hospice House. The authorized official of this NPI record is Tony Lee Morrison (Vice President, Revenue Cycle)
- NPI
- 1366092801
- Provider Legal Name
- SANFORD MEDICAL CENTER FARGO
- Other Organization Name
- SANFORD FARGO HOSPICE HOUSE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 820 4TH ST N FARGO, ND 58102
- Location Phone
- (701) 234-7550
- Location Fax
- (701) 234-7559
- Mailing Address
- PO BOX 2168 FARGO, ND 58107
- Mailing Phone
- (605) 328-6585
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-17-2019
- Last Update Date
- 03-15-2023
- Code Navigator
Location Map
Secondary Locations
- 801 Broadway N
Fargo, ND 58102
(701) 234-5264
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
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
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) |
|---|---|---|---|---|
| 1 | 315D00000X | Nursing & Custodial Care Facilities | Hospice, Inpatient |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 35D2187842
- Facility Type
- Hospice
- Certificate Effective Date
- July 08, 2024
- Certificate Expiration Date
- July 07, 2026
- Laboratory Director
- BRIAN WITTKOP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sanford Fargo Hospice House 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. | |||||||||
| 1 | 3 | 6 | 6 | 0 | 9 | 2 | 8 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 0 | 9 | 4 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 0 + 9 + 4 + 8 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1366092801 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548287212 | RALPH LEVITT MD Individual | Internal Medicine (Medical Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-4811 |
| 1992729230 | ASHLEY W JENSEN MD Individual | Radiology (Radiation Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1205025350 | DR. TANYA DOCKTER PHARMD Individual | Pharmacist | 820 4TH ST N FARGO, ND 58102 (701) 234-7554 |
| 1720346448 | SARAH BARTS LRD Individual | Dietitian, Registered | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1316315385 | SHARRI M LACHER CNS Individual | Clinical Nurse Specialist (Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1497269583 | MR. ETHAN JOSEPH BRENNA MSGC Individual | Genetic Counselor, MS | 820 4TH ST N FARGO, ND 58102 (701) 234-2448 |
| 1306282025 | JEFFREY MARK WIISANEN MD Individual | Internal Medicine (Hematology & Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1710507561 | BRITTANY NICOLE TWISS RD, LRD Individual | Dietitian, Registered | 820 4TH ST N FARGO, ND 58102 (701) 234-2245 |
| 1043426034 | AMIT PANWALKAR Individual | Internal Medicine (Hematology & Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1205247913 | SOMMER RAE WILD NURKIC M.D., M.P.H. Individual | Radiology (Radiation Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1629369830 | DR. MIRAN JOEL BLANCHARD MD Individual | Radiology (Radiation Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1639442411 | DR. JANA LYNN SUDER DNP Individual | Nurse Practitioner | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1699181495 | DR. KIRK DAVID WYATT M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1831110055 | NINA C SJOQUIST NP Individual | Nurse Practitioner | 820 4TH ST N PO BOX MC FARGO, ND 58102 (701) 234-6161 |
| 1013935667 | GERALD G GROSS MD Individual | Internal Medicine (Hematology & Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1982917506 | ABDALLAH ABOU ZAHR MD Individual | Internal Medicine (Hematology & Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1750669214 | DR. RADHA KRISHNA RAO VEGUNTA M.D Individual | Internal Medicine (Hematology & Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1700405685 | BRANDI PETERSON APRN, FNP-C Individual | Nurse Practitioner | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1154807741 | MORGAN RINKE NP Individual | Nurse Practitioner | 820 4TH ST N FARGO, ND 58102 (701) 234-6161 |
| 1134533805 | DANIEL ALMQUIST M.D. Individual | Internal Medicine (Hematology & Oncology) | 820 4TH ST N FARGO, ND 58102 (701) 234-3100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366092801, enumerated in the NPI registry as an "organization" on September 17, 2019
The provider is located at 820 4th St N Fargo, Nd 58102 and the phone number is (701) 234-7550
This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota and Sanford. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 35D2187842 for a "hospice" 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 September 17, 2019. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.