| Sanford Health Network | |
|
112 Saint Olaf Ave S Canby MN 56220-1433 | |
| (507) 223-7221 | |
| (507) 223-7886 |
| Full Name | Sanford Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 Saint Olaf Ave S, Canby, Minnesota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Health Network Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Health Network 112 Saint Olaf Ave S Canby MN 56220-1433 Ph: (507) 223-7221 |
| NPI Number | 1437243607 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 6800707100 |
|---|---|
| Medicare Enrollment ID | O20070807000845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437243607 | NPI | - | NPPES |
| 106642 | Other | UCARE | |
| 01014223 | Other | PREFERRED ONE | |
| 5100235 | Other | MEDICA | |
| 60171 | Other | HEALTH PARTNERS | |
| 367717600 | Medicaid | MN | |
| 5D82SI | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |