| Sanford Health Network | |
|
1305 W 18th St Sioux Falls SD 57105 | |
| (605) 333-7373 | |
| (605) 333-1586 |
| Full Name | Sanford Health Network |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 1305 W 18th St, Sioux Falls, 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 1305 W 18th St Sioux Falls SD 57105 Ph: (605) 333-7373 |
| NPI Number | 1831146638 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 6800707100 |
|---|---|
| Medicare Enrollment ID | O20070416000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831146638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 293D00000X | Physiological Laboratory | (* (Not Available)) | Primary |
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