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Contact Information

SANFORD CLINIC
1309 W 17TH ST
STE 101
SIOUX FALLS, SD57104-8805
 Phone: 605-328-8000
 Fax: 605-328-8001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Clinical Nurse Specialist

364S00000X 89 Certified Clinical Nurse Specialist
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Oncology

364SX0200X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for SANFORD CLINIC

NPI Number 1770518037
LBN Legal business name SANFORD CLINIC
Authorized official TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2006
Last updated 11/27/2023 - About 3 years ago
Identifiers
IA Medicaid 0537886
MN Medicaid 281988100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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