| Sanford Health Community Health Worker | |
|
901 4th St Nw Watertown SD 57201-1558 | |
| (605) 886-1565 | |
| (605) 886-9317 |
| Full Name | Sanford Health Community Health Worker |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 901 4th St Nw, Watertown, South Dakota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Health Community Health Worker Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Health Community Health Worker 901 4th St Nw Watertown SD 57201-1558 Ph: (605) 886-1565 |
| NPI Number | 1588322515 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588322515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Primary |
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