Sanford Clinic
Clinic/Center in Sioux Falls, SD. Organization (NPI-2).
NPI number1164069506
StatusActive
Last updated in NPPESJun 29, 2020
Details
- NPI
- 1164069506
- Entity type
- Organization (NPI-2)
- Legal business name
- Sanford Clinic
- Organization subpart
- Yes
- Enumeration date
- Dec 4, 2019
- Certification date
- Jun 29, 2020
- Last updated
- Jun 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Sanford Health Lake Lorraine Eye Clinic (Doing Business As)
Practice location
2310 S Marion Rd Ste 140Sioux Falls, SD 57106-1144
Phone 605-328-6690 · Fax 605-312-9883
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Phone 605-328-6585
Authorized official
Tony Lee Morrison
Vice President, Revenue Cycle
6053288380
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