SANFORD CLINIC (NPI# 1215576178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215576178 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC |
| Other Organization Name | SANFORD HEALTH POST-ACUTE AND COMMUNITY SERVICES |
| Practice Address |
12856 Deauville Dr Omaha NE 68137-3204 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 4028952266 |
| Practice Fax Number | 4028958964 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | Y |
| Parent Organization Name | SANFORD CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sanford Health Post-Acute and Community Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164069506 | Sanford Clinic | Clinic/Center | 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 | 2019-12-04 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1356983175 | Sanford Clinic | Clinic/Center | 366 Hillsboro Technology Dr, Deerfield Beach, FL 33441-1836 | 2019-10-14 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1396089900 | Sanford Clinic | Nurse Practitioner | 1309 W 17th St Ste 102, Sioux Falls, SD 57104-4663 | 2012-11-20 |
| 1740416395 | Sanford Clinic | Pediatrics | 2502 W. Elk Ave., Duncan, OK 73533 | 2009-06-09 |
| 1861685166 | Sanford Clinic | Radiology | 891 14th Ave Ne, Watertown, SD 57201 | 2007-08-21 |
| 1366635740 | Sanford Clinic | Family Medicine | 433 Kansas Ave Se, Huron, SD 57350-2561 | 2007-08-20 |
| 1922123108 | Sanford Clinic | Clinic/Center | 703 S Broadway, Watertown, SD 57201 | 2007-03-20 |
| 1285738997 | Sanford Clinic | Obstetrics & Gynecology | 1201 S Euclid Ave Ste 201, Sioux Falls, SD 57105-0434 | 2006-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SANFORD CLINIC | 1305 W 18th St, Sioux Falls, SD 57105-0401 |
| Colorado Business Entities | Sanford Clinic | 1305 W 18th St, Sioux Falls, SD 57105 |
| Iowa Business Entities | SANFORD CLINIC | 1305 W 18th St, Sioux Falls, SD 57105 |
| Oklahoma Business Registrations | SANFORD CLINIC | 1305 W 18th St, Sioux Falls, SD 57105 |
| Iowa Business Entities | SANFORD CLINIC NORTH | 801 Broadway North, Fargo, ND 58122 |
| System for Award Management (SAM) Entities | SANFORD CLINIC NORTH FARGO | 801 Broadway N, Fargo, ND 58102-3641 |
| Street Address |
12856 DEAUVILLE DR |
| City | OMAHA |
| State | NE |
| Zip Code | 68137-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841271244 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 12856 Deauville Dr, Omaha, NE 68137-3204 | 2005-11-11 |
| 1487219739 | Lindsey Fischer | Speech-Language Pathologist | 12856 Deauville Dr, Omaha, NE 68137-3204 | 2019-05-02 |
| 1750723466 | Lindsey Singkofer | Physical Therapy Assistant | 12856 Deauville Dr, Omaha, NE 68137-3204 | 2013-07-23 |
| 1063790582 | Barbara Nell Bradley | Physical Therapist | 12856 Deauville Dr, Omaha, NE 68137-3204 | 2011-08-01 |
| 1568740140 | Valerie Nicole Combs | Physical Therapy Assistant | 12856 Deauville Dr, Omaha, NE 68137-3204 | 2011-07-29 |
| 1487932190 | Courtney Ellen Whallon | Occupational Therapist | 12856 Deauville Dr, Omaha, NE 68137-3204 | 2011-07-29 |
| 1730467689 | Nicolle Dontigney | Physical Therapy Assistant | 12856 Deauville Dr, Omaha, NE 68137-3204 | 2011-07-26 |
| 1659659688 | Derrick Antonia Crawford | Physical Therapy Assistant | 12856 Deauville Dr, Omaha, NE 68137-3204 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1326567686 | Lachelle Zuhlke | Psychologist | 5606 S. 147th Street, Omaha, NE 68137 | 2017-09-18 |
| 1043739766 | Rachel Miller | Registered Nurse | 5606 S. 147th St, Omaha, NE 68137 | 2017-09-13 |
| 1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
| 1790153617 | Answers for Autism, LLC | Community/Behavioral Health | 6424 S 150th St., Omaha, NE 68137 | 2015-09-09 |
| 1912382383 | Rocky Mountain Holdings, LLC | Ambulance | 12916 Millard Airport Plz, Omaha, NE 68137 | 2015-07-27 |
| Find all providers in zip 68137 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648882 | Re-new Institute LLC | Clinic/Center | 18324 Cheyenne Rd, Omaha, NE 68136 | 2020-10-26 |
| 1083225817 | Kubat Clinical Services LLC | Clinic/Center | 4924 Center St # A-1, Omaha, NE 68106-3219 | 2020-08-14 |
| 1053811802 | Athletico Excel Nebraska, LLC | Clinic/Center | 13110 Birch Dr Ste 164, Omaha, NE 68164-4160 | 2018-02-19 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1649614389 | Alan D Jensen Md P C | Clinic/Center | 8761 W Center Rd Ste B, Omaha, NE 68124-2166 | 2013-04-24 |
| 1952573081 | Mid America Ear, Nose & Throat Clinic, PC | Clinic/Center | 7710 Mercy Rd Ste 205, Omaha, NE 68124-2346 | 2008-03-28 |
| 1346466745 | Creighton University Medical Center | Clinic/Center | 601 N 30th St Ste 3m-100, Omaha, NE 68131-2137 | 2007-04-17 |
| 1003829383 | Powers Chiropractic, P.C. | Clinic/Center | 11343 Wright Cir, Omaha, NE 68144-4738 | 2006-08-15 |
| 1023044203 | Results Chiropractic | Clinic/Center | 6005 Maple St, Omaha, NE 68104-4103 | 2006-06-23 |
| 1861455859 | John R. Kirchner, Md | Clinic/Center | 13906 Gold Cir, Suite 101, Omaha, NE 68144-2336 | 2006-04-10 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.