MEDICARE: SANFORD CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174537799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANFORD CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 5074
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5074
Country	:	US
Telephone Number	:	605-328-6585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1309 W 17TH ST STE G01
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57104-4664
Country	:	US
Telephone Number	:	605-312-3400
Fax Number	:	605-312-3401

Authorized Official
Title or Position	:	VICE PRESIDENT, REVENUE CYCLE
Name	:	TONY LEE MORRISON
Credential	:
Telephone Number	:	605-328-8380

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	01/23/2025

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1528219664 — CATHERINE A HAJEK MD
Practice Location Address:

1309 W 17TH ST STE G01
SIOUX FALLS, SD
57104-4664

Practice Phone: 605-312-3400
Practice Fax:

1578528576 — DR. SHIRLENE K SMOOK MD
Practice Location Address:

1309 W 17TH ST STE G01
SIOUX FALLS, SD
57104-4664

Practice Phone: 605-312-3400
Practice Fax:

1447675640 — COLLEEN SCHMIDT
Practice Location Address:

1309 W 17TH ST STE G01
SIOUX FALLS, SD
57104-4664

Practice Phone: 605-314-3400
Practice Fax:

1447894514 — RAYCHEL ROSE SCHURMAN PA-C
Practice Location Address:

1309 W 17TH ST STE G01
SIOUX FALLS, SD
57104-4664

Practice Phone: 605-312-3400
Practice Fax:

1275414138 — FELICIA MULLINIX RBT
Practice Location Address:

1105 W RUSSELL ST
SIOUX FALLS, SD
57104-1322

Practice Phone: 605-271-2690
Practice Fax: 605-271-3956

Directions to “SANFORD CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.