Sanford Children'S Clinic Sanford Usd Medical Center Mb2

LBN: Sanford Clinic
Sanford Children'S Clinic Sanford Usd Medical Center Mb2 is an health care organization with primary practice located at 1205 S Grange Ave Ste 307, Sioux Falls SD 57105-0410. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Sanford Clinic can be contacted via phone (605) 328-7800, or through Morrison, Tony Lee via phone (605) 328-8380.

Contact Information

Primary practice address
1205 S Grange Ave Ste 307 Sioux Falls SD 57105-0410
Fax: (605) 328-7899
Website:
Authorized official contact:
Name: Morrison, Tony Lee

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1497787592
LBN Legal business name Sanford Clinic
DBA Doing business as Sanford Children'S Clinic Sanford Usd Medical Center Mb2
Authorized official Morrison, Tony Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 27th, 2023 - about 2 years ago

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 1497787592 NPPES
Iowa MEDICAID 0562025
Iowa MEDICAID 861458000

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