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SANFORD CLINIC NPI 1881600286


NPI Information

NPI: 1881600286
Provider Name: SANFORD CLINIC

Doing Business As: SANFORD CLINIC NEUROLOGY

Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization

CLIA Number: 43D2048482

Address:
1210 W 18TH ST
STE 100
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 312-8500
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SANFORD CLINIC is a neuromusculoskeletal medicine omm in Sioux Falls, SD. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. SANFORD CLINIC NPI is 1881600286. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sanford Clinic Neurology.

The provider's business location address is:

1210 W 18TH ST
STE 100
SIOUX FALLS, SD
ZIP 57104-890
Phone: (605) 312-8500
Fax: (605) 312-8501

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 43D2048482 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 10/8/2015.


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
1204D00000XNeuromusculoskeletal Medicine & OMMYes

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
1CH8874MEDICARE PINSOUTH DAKOTA
2281988100MEDICAIDMINNESOTA
30537886MEDICAIDIOWA
4S8255MEDICARE PINSOUTH DAKOTA
5C03080MEDICARE PINMINNESOTA

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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