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SANFORD CLINIC NPI 1306869227


NPI Information

NPI: 1306869227
Provider Name: SANFORD CLINIC

Doing Business As: SANFORD OBSTETRICS AND GYNECOLOGY CLINIC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 43D0407197

Address:
1500 W 22ND ST
STE 301
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 328-7700
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SANFORD CLINIC is an obstetrics gynecology in Sioux Falls, SD. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SANFORD CLINIC NPI is 1306869227. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Obstetrics And Gynecology Clinic.

The provider's business location address is:

1500 W 22ND ST
STE 301
SIOUX FALLS, SD
ZIP 57105-503
Phone: (605) 328-7700
Fax: (605) 328-7775

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 43D0407197 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/25/2006 and was last updated on 3/8/2022.


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
1103T00000XPsychologistNo
2163W00000XRegistered NurseNo
3170300000XGenetic Counselor, MSNo
4207R00000XInternal MedicineNo
5207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
62085U0001XRadiologyDiagnostic UltrasoundNo
72086X0206XSurgerySurgical OncologyNo
8246R00000XTechnician, PathologyNo
9247100000XRadiologic TechnologistNo
10363A00000XPhysician AssistantNo
11363L00000XNurse PractitionerNo
12207V00000XObstetrics & GynecologyYes

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
10562025MEDICAIDIOWA
2827927600MEDICAIDMINNESOTA

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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