SANFORD HEALTH CANCER CENTER – NPI #1174716245
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

SANFORD HEALTH CANCER CENTER is a radiologist located in WORTHINGTON, MN. NPPES has assigned the NPI number 1174716245 to SANFORD HEALTH CANCER CENTER on August 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SANFORD HEALTH CANCER CENTER” is a dba name, the actual legal business name for this organization is SANFORD CLINIC. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

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 SANFORD HEALTH CANCER CENTER below.

NPI Profile for
SANFORD CLINIC

NPI Number
1174716245
Enumeration Date

(about 19 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 HEALTH CANCER CENTER
Primary location
1018 6TH AVE
WORTHINGTON, MN 56187
Phone: (507) 372-3600 Fax: (507) 372-3620
1 Other location(s):
1018 6th Ave
Worthington, MN 56187
Phone: (507) 372-3600
Fax: (507) 372-3620
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
Jun 29, 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
2085R0001X
- Radiology / Radiation Oncology (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