SANFORD CLINIC (NPI# 1699772178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699772178 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC |
| Other Organization Name | SANFORD CLINIC WINDOM |
| Practice Address |
591 2nd Ave N Windom MN 56101-1927 |
| Practice Telephone | 5078312223 |
| Practice Fax Number | 5078310135 |
| Mailing Telephone | 5078312223 |
| Mailing Fax Number | 5078310135 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 842958800 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Clinic Windom | 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 |
591 2ND AVE N |
| City | WINDOM |
| State | MN |
| Zip Code | 56101-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912416124 | Susan Joy Goodemote | Registered Nurse | 591 2nd Ave N, Windom, MN 56101-1927 | 2017-09-20 |
| 1285171579 | Kayla Pineda | Nurse Practitioner | 591 2nd Ave N, Windom, MN 56101-1927 | 2017-01-24 |
| 1457729402 | Darla Miles | Nurse Practitioner | 591 2nd Ave N, Windom, MN 56101-1927 | 2015-09-08 |
| 1992097992 | Ahmad Jamshid Yusuf | Family Medicine | 591 2nd Ave N, Windom, MN 56101-1927 | 2011-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669868246 | Samantha Noel Hager | Counselor | 305 9th Street, Windom, MN 56101 | 2015-04-10 |
| 1689093783 | Micara Louise Kolander | Nurse Anesthetist, Certified Registered | Windom Area Hospital, 2150 Hospital Dr, Windom, MN 56101 | 2014-04-16 |
| 1952611618 | Michelle Seberson | Occupational Therapy Assistant | 540 16th Street, Windom, MN 56101 | 2010-10-15 |
| 1518290634 | Yvonne M. Callaghan | Marriage & Family Therapist | 41385 Us Hwy 71 N., Windom, MN 56101 | 2009-09-08 |
| 1043452774 | Iowa Lakes Orthopaedics, PC | Orthopaedic Surgery | Hwy. 71 N, Windom, MN 56101 | 2009-03-26 |
| 1891946539 | Alissa Grunewald | Pharmacist | 599 2nd Avenue North, Windom, MN 56101 | 2008-09-30 |
| 1538269741 | Sanford Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 585 2nd Ave N, Windom, MN 56101 | 2006-09-25 |
| 1811099138 | Gloria Andreasen | Social Worker | 9 4th Street, Windom, MN 56101 | 2006-09-05 |
| 1598738387 | Mary L Olson | Family Medicine | 820 2nd Avenue North, Windom, MN 56101 | 2006-02-10 |
| 1497996052 | Jolene Peggy Wirkus | Psychologist | 9 4th Street, Windom, MN 56101 | 2009-03-11 |
| Find all providers in zip 56101 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114081197 | Sioux Valley Clinic | Clinic/Center | 308 10th St, Windom, MN 56101-1451 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
| 1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
| 1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
| Find all providers with the same taxonomy | ||||
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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.