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SANFORD CLINIC NPI 1881610889


NPI Information

NPI: 1881610889
Provider Name: SANFORD CLINIC

Doing Business As: SANFORD CHILDREN'S SPECIALTY CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1600 W 22ND ST
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 312-1000
Get Directions

SANFORD CLINIC is a pediatrics in Sioux Falls, SD. 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 1881610889. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Children's Specialty Clinic.

The provider's business location address is:

1600 W 22ND ST
SIOUX FALLS, SD
ZIP 57105-521
Phone: (605) 312-1000
Fax: (605) 312-1001

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 enumeration date for this NPI number is 7/14/2006 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
1170100000XMedical Genetics, Ph.D. Medical GeneticsNo
2207SG0201XMedical GeneticsClinical Genetics (M.D.)No
3207SG0205XMedical GeneticsPh.D. Medical GeneticsNo
4208100000XPhysical Medicine & RehabilitationNo
52084N0400XPsychiatry & NeurologyNeurologyNo
62085P0229XRadiologyPediatric RadiologyNo
7208600000XSurgeryNo
8101Y00000XCounselorNo
9103T00000XPsychologistNo
10104100000XSocial WorkerNo
11133N00000XNutritionistNo
12133V00000XDietitian, RegisteredNo
13163W00000XRegistered NurseNo
14164W00000XLicensed Practical NurseNo
15208000000XPediatricsYes

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
1916413800MEDICAIDMINNESOTA
20573469MEDICAIDIOWA

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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