Organization
SANFORD HEALTH NETWORK
Active
Other names
Sanford Clinic Sanborn
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
321 MAIN ST, SANBORN, IA 51248-7731
(712) 729-3545
(712) 729-5767
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-7177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0254656
IOWA MEDICAID
IA
01
—
0638593
IOWA MEDIPASS
IA
Enumeration date
12/11/2007
Last updated
11/27/2023
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