Sanford Dermatology Clinic

LBN: Sanford Clinic
Sanford Dermatology Clinic is an health care organization with primary practice located at 1310 W 22Nd St , Sioux Falls SD 57105-1501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Sanford Clinic can be contacted via phone (605) 328-8600, or through Morrison, Tony Lee via phone (605) 328-8380.

Contact Information

Primary practice address
1310 W 22Nd St Sioux Falls SD 57105-1501
Fax: (605) 328-8601
Website:
Authorized official contact:
Name: Morrison, Tony Lee

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1245255942
LBN Legal business name Sanford Clinic
DBA Doing business as Sanford Dermatology Clinic
Authorized official Morrison, Tony Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Nov 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245255942 NPPES
Iowa MEDICAID 0537886
Iowa MEDICAID 281988100

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