Organization
SANFORD CLINIC
Active
Other names
Sanford Vascular Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-3350
(605) 328-3351
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-7177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WM0705X
Medical-Surgical Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
208600000X
Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
246X00000X
Cardiovascular Specialist/Technologist
—
—
246Y00000X
Health Information Specialist/Technologist
—
—
246YC3302X
Physician Office Based Coding Specialist
—
—
247100000X
Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537886
—
IA
05
—
402959300
—
MN
Enumeration date
08/03/2006
Last updated
02/26/2026
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