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Contact Information

SANFORD CLINIC
1210 W 18TH ST
SUITE G01
SIOUX FALLS, SD57104-4647
 Phone: 605-328-1750
 Fax: 605-328-1751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SANFORD CLINIC

NPI Number 1790791101
LBN Legal business name SANFORD CLINIC
Authorized official STEVE GEOTSCH - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2006
Last updated 11/27/2023 - About 3 years ago
Identifiers
IA Medicaid 0562025
MN Medicaid 684424300
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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