| Sanford Clinic Webster | |
|
101 Peabody Dr Webster SD 57274-1061 | |
| (605) 345-4141 | |
| (605) 345-4135 |
| Full Name | Sanford Clinic Webster |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Peabody Dr, Webster, South Dakota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, 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 |
|---|---|
| Sanford Clinic Webster Po Box 5074 Sioux Falls SD 57117-5074 Ph: () - | Sanford Clinic Webster 101 Peabody Dr Webster SD 57274-1061 Ph: (605) 345-4141 |
| NPI Number | 1770505760 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 6800707100 |
|---|---|
| Medicare Enrollment ID | O20070801000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770505760 | NPI | - | NPPES |
| 833833700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Avera Medical Group Webster Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Highway 12 Ste 2, Webster, SD 57274 Phone: 605-345-2222 Fax: 605-345-2223 |