EDITH SANFORD BREAST SPECIALTY CLINIC – NPI #1497163026
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

EDITH SANFORD BREAST SPECIALTY CLINIC is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1497163026 to EDITH SANFORD BREAST SPECIALTY CLINIC on July 28, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EDITH SANFORD BREAST SPECIALTY CLINIC” is a dba name, the actual legal business name for this organization is SANFORD CLINIC. 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 3 years ago on Nov 27, 2023. 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 EDITH SANFORD BREAST SPECIALTY CLINIC below.

NPI Profile for
SANFORD CLINIC

NPI Number
1497163026
Enumeration Date

(about 12 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): EDITH SANFORD BREAST SPECIALTY CLINIC
Primary location
1309 W 17TH ST
STE G01
SIOUX FALLS, SD 57104-4663
Phone: (605) 328-4592 Fax: (605) 328-2867
Mailing address
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone: (605) 328-6585 Fax:
Organization Subpart
No
Authorized Official
TONY MORRISON
VICE PRESIDENT, REVENUE CYCLE
Phone: (605) 328-8380
Updated
Certification Date
Jul 01, 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.

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