Sanford Clinic Lake Norden | |
512 Main Ave Lake Norden SD 57248-0079 | |
(605) 873-2222 | |
(605) 873-2182 |
Full Name | Sanford Clinic Lake Norden |
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Speciality | Clinic/Center |
Location | 512 Main Ave, Lake Norden, South Dakota |
Authorized Official Name and Position | Tony Lee Morrison (VP, 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 |
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Sanford Clinic Lake Norden Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Clinic Lake Norden 512 Main Ave Lake Norden SD 57248-0079 Ph: (605) 873-2222 |
NPI Number | 1417927559 |
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Provider Enumeration Date | 01/23/2006 |
Last Update Date | 12/19/2022 |
Medicare PECOS PAC ID | 8325950215 |
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Medicare Enrollment ID | O20221227002593 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417927559 | NPI | - | NPPES |
5300462 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |