Organization
SANFORD CLINIC
Active
Other names
Sanford Health Midtown 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
1205 S GRANGE AVE STE 301, SIOUX FALLS, SD 57105-0410
(605) 312-8350
(605) 312-8351
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 333-0245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WW0101X
Ambulatory Women's Health Care Registered Nurse
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
246R00000X
Pathology Technician
—
—
363L00000X
Nurse Practitioner
—
—
364SW0102X
Women's Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0574640
—
IA
05
—
814657800
—
MN
Enumeration date
07/14/2006
Last updated
01/23/2025
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