Sanford Health 621 Demers Ave Clinic – Family Medicine Physician, NPI 1013952605

Sanford Health 621 Demers Ave Clinic is a healthcare provider. based in East grand forks, Minnesota. specializing in Family Medicine Physician. The NPI Number for Sanford Health 621 Demers Ave Clinic is 1013952605

Main info

Organization
Name
Sanford Health 621 Demers Ave Clinic
NPI
1013952605
Phone
(218) 773-5800
Address
621 DEMERS AVE
Authorized Official
MARTHA K LECLERC VP
Enumeration Date
18 June 2006
Last Update Date
27 November 2023

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness90
Years active:19State licenses:0Updated within 12 months

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Provider Addresses for Sanford Health 621 Demers Ave Clinic

  • 621, Demers Avenue, East Grand Forks, Polk County, Minnesota, 56721, United States

    EAST GRAND FORKS, MN 567211833

    Phone: (218) 773-5800

    Fax: (218) 773-5888

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56721)

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Reviews

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Frequently asked questions

Where can patients find Sanford Health 621 Demers Ave Clinic's NPI?
You can confirm Sanford Health 621 Demers Ave Clinic with NPI 1013952605; it appears in the national provider directory.
Is Sanford Health 621 Demers Ave Clinic's NPI currently valid?
The extract we use shows Sanford Health 621 Demers Ave Clinic as active.
What field does Sanford Health 621 Demers Ave Clinic work in?
You can think of Sanford Health 621 Demers Ave Clinic as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Sanford Health 621 Demers Ave Clinic practice in Minnesota?
You will see East Grand Forks, Minnesota on file for Sanford Health 621 Demers Ave Clinic alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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