SANFORD CLINIC FAMILY MEDICINE 4TH & SYCAMORE – NPI #1265461065
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.

Health Care Provider Taxonomy Code for Family Medicine

SANFORD CLINIC FAMILY MEDICINE 4TH & SYCAMORE is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1265461065 to SANFORD CLINIC FAMILY MEDICINE 4TH & SYCAMORE on July 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SANFORD CLINIC FAMILY MEDICINE 4TH & SYCAMORE” is a dba name, the actual legal business name for this organization is SANFORD CLINIC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, 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 previously updated about 6 years ago on Jun 30, 2020. 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 FAMILY MEDICINE 4TH & SYCAMORE below.

NPI Profile for
SANFORD CLINIC

NPI Number
1265461065
Enumeration Date

(about 20 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
Doing Business As (dba): SANFORD CLINIC FAMILY MEDICINE 4TH & SYCAMORE
Other name(s)
All associated names:
Doing Business As (dba)
Sanford 4th and Sycamore Family Medicine
Doing Business As (dba)
Sanford Clinic Family Medicine 4th & Sycamore
Primary location
600 N SYCAMORE AVE
SIOUX FALLS, SD 57110-5745
Phone: (605) 328-2999 Fax: (605) 328-2957
Mailing address
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone: (605) 328-6585 Fax: (605) 328-6512
Organization Subpart
No
Authorized Official
TONY MORRISON
VICE PRESIDENT, REVENUE CYCLE
Phone: (605) 328-8380
Updated
Certification Date
Jun 30, 2020

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.

Identifiers

Identifiers for SANFORD CLINIC FAMILY MEDICINE 4TH & SYCAMORE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA0573642
MEDICAIDMN407885300
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)
2085R0202X
- Radiology / Diagnostic Radiology
2085P0229X
- Radiology / Pediatric Radiology

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.