# SANFORD CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Health Midtown Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942226147
- **Authorized official:** TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
- **Authorized official phone:** (605) 328-8380

## Contact information

- **Practice address:** 1205 S GRANGE AVE STE 301, SIOUX FALLS, SD 57105-0410
- **Practice address phone:** (605) 312-8350
- **Practice address fax:** (605) 312-8351
- **Mailing address:** PO BOX 5074, SIOUX FALLS, SD 57117-5074
- **Mailing address phone:** (605) 328-6585
- **Mailing address fax:** (605) 333-0245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | NULL | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 246R00000X | Pathology Technician | — | NULL | — |
| 246R00000X | Pathology Technician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 364SW0102X | Women's Health Clinical Nurse Specialist | — | NULL | — |
| 364SW0102X | Women's Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 01/23/2025