Organization
SANFORD HEALTH NETWORK
Active
Other names
Sanford Clinic Mountain Lake
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
308 8TH ST N, MOUNTAIN LAKE, MN 56159-1568
(507) 427-3332
(507) 831-0135
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
958132400
—
MN
Enumeration date
06/30/2005
Last updated
03/12/2026
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