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SANFORD CLINIC NPI 1255353934


NPI Information

NPI: 1255353934
Provider Name: SANFORD CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 43D1061278

Address:
1305 W 18TH ST
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 328-4539
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SANFORD CLINIC is a family medicine in Sioux Falls, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SANFORD CLINIC NPI is 1255353934. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1305 W 18TH ST
SIOUX FALLS, SD
ZIP 57105-401
Phone: (605) 328-4539
Fax: (605) 328-4531

The provider's authorized official is Steve W 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 43D1061278 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/24/2006 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
1163W00000XRegistered NurseNo
2103T00000XPsychologistNo
3152W00000XOptometristNo
4363A00000XPhysician AssistantNo
5213E00000XPodiatristNo
6225100000XPhysical TherapistNo
7231H00000XAudiologistNo
8246Q00000XSpecialist/Technologist, PathologyNo
9363L00000XNurse PractitionerNo
10207Q00000XFamily MedicineYes

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.