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SANFORD CLINIC NPI 1740416395


NPI Information

NPI: 1740416395
Provider Name: SANFORD CLINIC

Doing Business As: SANFORD CHILDREN'S CLINIC DUNCAN

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 37D1100859

Address:
2502 W. ELK AVE.
DUNCAN, OK
ZIP 73533
Phone: (580) 354-5700
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SANFORD CLINIC is a pediatrics in Duncan, OK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SANFORD CLINIC NPI is 1740416395. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Children's Clinic Duncan.

The provider's business location address is:

2502 W. ELK AVE.
DUNCAN, OK
ZIP 73533
Phone: (580) 354-5700

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 37D1100859 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2009 and was last updated on 9/11/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200253670AMEDICAIDOKLAHOMA
2OKB5676MEDICARE PINOKLAHOMA

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: 5/5/2024

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