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SANFORD CLINIC NPI 1922123108


NPI Information

NPI: 1922123108
Provider Name: SANFORD CLINIC

Doing Business As: WATERTOWN FAMILY PLANNING

Classification: Clinic/Center - 261QF0050X
Entity Type: Organization

Specialization: Family Planning, Non-Surgical

Address:
703 S BROADWAY
WATERTOWN, SD
ZIP 57201
Phone: (605) 882-1852
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SANFORD CLINIC is a family planning and non-surgical clinic center in Watertown, SD. The provider is an entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. SANFORD CLINIC NPI is 1922123108. The provider is registered as an organization entity type.
The provider Is Doing Business As Watertown Family Planning.

The provider's business location address is:

703 S BROADWAY
WATERTOWN, SD
ZIP 57201
Phone: (605) 882-1852
Fax: (605) 886-9799

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 3/20/2007 and was last updated on 7/9/2020.


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
1261QF0050XClinic/CenterFamily Planning, Non-SurgicalYes

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
15100130MEDICAIDSOUTH DAKOTA

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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