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Organization

SANFORD CLINIC

Active
Other names
Sanford Children's Specialty Clinic
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
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 312-1000
(605) 312-1001
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-7177

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
104100000X
Social Worker
133N00000X
Nutritionist
133V00000X
Registered Dietitian
163W00000X
Registered Nurse
164W00000X
Licensed Practical Nurse
170100000X
Ph.D. Medical Genetics
207SG0201X
Clinical Genetics (M.D.) Physician
207SG0205X
Ph.D. Medical Genetics Physician
208000000X
Pediatrics Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician
2084N0400X
Neurology Physician
2085P0229X
Pediatric Radiology Physician
208600000X
Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0573469
IA
05
916413800
MN
Enumeration date
07/14/2006
Last updated
11/27/2023
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