Healthcare Provider Details

I. General information

NPI: 1982201992
Provider Name (Legal Business Name): SANFORD HEALTHCARE ACCESSORIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 W 18TH ST STE LL02
SIOUX FALLS SD
57104-4649
US

IV. Provider business mailing address

PO BOX 9679
FARGO ND
58106-9679
US

V. Phone/Fax

Practice location:
  • Phone: 605-328-1445
  • Fax: 605-328-1448
Mailing address:
  • Phone: 605-328-4435
  • Fax: 605-328-5995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TONY LEE MORRISON
Title or Position: VP, REVENUE CYCLE
Credential:
Phone: 605-328-8380