| Sanford Clinic Estelline | |
|
305 Hospital Dr Estelline SD 57234-0196 | |
| (605) 873-2222 | |
| (605) 873-2182 |
| Full Name | Sanford Clinic Estelline |
|---|---|
| Speciality | Clinic/Center |
| Location | 305 Hospital Dr, Estelline, South Dakota |
| Authorized Official Name and Position | Tony Lee Morrison (VP, 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 Clinic Estelline Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Clinic Estelline 305 Hospital Dr Estelline SD 57234-0196 Ph: (605) 873-2222 |
| NPI Number | 1548230683 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 8325950215 |
|---|---|
| Medicare Enrollment ID | O20221227002560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548230683 | NPI | - | NPPES |
| 5300860 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Independent Medicine Prof Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 E Lake Dr, Estelline, SD 57234 Phone: 605-873-2133 Fax: 605-873-2133 |