| Sanford Health Network | |
|
701 3rd Ave S Clear Lake SD 57226-2016 | |
| (605) 874-8484 | |
| (605) 874-3529 |
| Full Name | Sanford Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 3rd Ave S, Clear Lake, South Dakota |
| 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 701 3rd Ave S Clear Lake SD 57226-2016 Ph: (605) 874-8484 |
| NPI Number | 1720129638 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 6800707100 |
|---|---|
| Medicare Enrollment ID | O20070716000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720129638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sanford Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 3rd Ave S, Clear Lake, SD 57226 Phone: 605-874-2141 Fax: 605-874-3529 |