Provider Type Icon

SANFORD CLINIC NPI 1770518037


NPI Information

NPI: 1770518037
Provider Name: SANFORD CLINIC

Doing Business As: SANFORD CANCER CENTER - ONCOLOGY CLINIC

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 43D0683940

Address:
1309 W 17TH ST
STE 101
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 328-8000
Get Directions

SANFORD CLINIC is a hematology and oncology internal medicine in Sioux Falls, SD. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SANFORD CLINIC NPI is 1770518037. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Cancer Center - Oncology Clinic.

The provider's business location address is:

1309 W 17TH ST
STE 101
SIOUX FALLS, SD
ZIP 57104-805
Phone: (605) 328-8000
Fax: (605) 328-8001

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The CLIA number assigned to this NPI record is 43D0683940 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 11/27/2023.


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
1207R00000XInternal MedicineNo
2364S00000XClinical Nurse SpecialistNo
3364SX0200XClinical Nurse SpecialistOncologyNo
4207RH0003XInternal MedicineHematology & OncologyYes

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
2281988100MEDICAIDMINNESOTA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.