Organization
SANFORD CLINIC
Active
Other names
Watertown Family Planning
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
703 S BROADWAY, WATERTOWN, SD 57201
(605) 882-1852
(605) 886-9799
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 312-7605
(605) 312-7611
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5100130
—
SD
Enumeration date
03/20/2007
Last updated
07/09/2020
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