SANFORD CLINIC – NPI #1093997017
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SANFORD CLINIC is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1093997017 to SANFORD CLINIC on November 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The NPI data also shows multiple names associated with this provider such as and 2 other listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jan 24, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANFORD CLINIC below.

NPI Profile for
SANFORD CLINIC

NPI Number
1093997017
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SANFORD CLINIC
Other name(s)
All associated names:

Doing Business As (dba)
Sanford USD 34th & Kiwanis Family Medicine
Doing Business As (dba)
Sanford USD 34th & Kiwanis Family Medicine Clinic
Primary location
2701 S KIWANIS AVE
SIOUX FALLS, SD 57105-4252
Phone: (605) 328-0020 Fax: (605) 328-0021
1 Other location(s):
320 W Main St
Canistota, SD 57012-2065
Phone: (605) 296-3025
Fax: (605) 328-9101
Mailing address
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone: Fax:
Organization Subpart
No
Authorized Official
CAROLYN TUTTLE
VP OF REVENUE CYCLE
Phone: (605) 328-8384
Updated
Certification Date
Jan 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669