OrganizationActive
Sanford Medical Center Fargo
NPI 1386099026 · Occupational Health Nurse Practitioner · East Grand Forks, MN
Provider details
- NPI number
- 1386099026
- Entity type
- Organization
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tony Morrison, Vp, Chief Revenue Cycle Officer(605) 328-8380
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Occupational Medicine Clinic/Center261QX0100X
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
625 Demers Ave
East Grand Forks, MN 56721-1833
Phone: (218) 773-5858
Fax: (218) 773-5841
Street-level locationGet directions
Mailing address
2603 E Broadway Ave
Bismarck, ND 58501-5107
Other names (DBA / former)
- Doing business as
- Sanford Health Occupational Medicine Clinic
- Doing business as
- Sanford Health Occupational Medicine Clinic
Registry dates
- Enumerated
- 2016-05-02
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.