| Sanford Clinic Sanborn | |
|
321 Main St Sanborn IA 51248-0400 | |
| (712) 729-3545 | |
| (712) 729-5767 |
| Full Name | Sanford Clinic Sanborn |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 321 Main St, Sanborn, Iowa |
| Authorized Official Name and Position | Joel Mason Gustafson (ADMINISTRATOR) |
| Authorized Official Contact | 7123245356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Clinic Sanborn 321 Main St P.o. Box 400 Sanborn IA 51248-0400 Ph: (712) 729-3545 | Sanford Clinic Sanborn 321 Main St Sanborn IA 51248-0400 Ph: (712) 729-3545 |
| NPI Number | 1144302191 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144302191 | NPI | - | NPPES |
| 0638593 | Medicaid | IA | |
| 0254656 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sanford Clinic Sanborn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 Main St, Sanborn, IA 51248 Phone: 712-729-3545 Fax: 712-729-5767 |