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SANFORD CLINIC NPI 1295848521


NPI Information

NPI: 1295848521
Provider Name: SANFORD CLINIC

Doing Business As: SANFORD CLINIC NEPHROLOGY

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 43D0407637

Address:
1205 S. GRANGE AVE
STE 201
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 328-8100
Get Directions

SANFORD CLINIC is a nephrology internal medicine in Sioux Falls, SD. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SANFORD CLINIC NPI is 1295848521. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Clinic Nephrology.

The provider's business location address is:

1205 S. GRANGE AVE
STE 201
SIOUX FALLS, SD
ZIP 57105-414
Phone: (605) 328-8100
Fax: (605) 328-8101

The provider's authorized official is Steve Goetsch .
The authorized official title is Cfo and has the following contact phone number (605) 328-6940.

The CLIA number assigned to this NPI record is 43D0407637 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 11/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10537886MEDICAIDIOWA
2284988100MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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