SANFORD CLINIC RADIOLOGY – NPI #1912932997
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

SANFORD CLINIC RADIOLOGY is a radiologist located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1912932997 to SANFORD CLINIC RADIOLOGY on July 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SANFORD CLINIC RADIOLOGY” is a dba name, the actual legal business name for this organization is SANFORD CLINIC. According to the NPI data, there are 10 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

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 CLINIC RADIOLOGY below.

NPI Profile for
SANFORD CLINIC

NPI Number
1912932997
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 RADIOLOGY
Primary location
1210 W 18TH ST
STE LL03
SIOUX FALLS, SD 57104-4654
Phone: (605) 328-1410 Fax: (605) 328-1412
10 Other location(s):
118 N 7th Ave
Sheldon, IA 51201-1235
Phone: (712) 324-6366
Fax: (712) 324-6373
112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone: (507) 223-7221
Fax: (507) 223-7886
1600 N Kniss Ave
Luverne, MN 56156-1067
Phone: (507) 283-2321
Fax: (507) 283-2091
591 2nd Ave N
Windom, MN 56101-1927
Phone: (507) 831-2223
Fax: (507) 831-0135
1018 6th Ave
Worthington, MN 56187-2202
Phone: (507) 372-2941
640 E Sioux Ave Ste 2
Pierre, SD 57501-3300
Phone: (605) 224-2010
Fax: (605) 224-0369
2701 S Kiwanis Ave
Sioux Falls, SD 57105-4252
Phone: (605) 332-2883
Fax: (605) 328-9101
4405 E 26th St
Sioux Falls, SD 57103-4187
Phone: (605) 332-2883
Fax: (605) 328-9001
6110 S Minnesota Ave
Sioux Falls, SD 57108-2549
Phone: (605) 332-2883
Fax: (605) 328-5831
20 S Plum St
Vermillion, SD 57069-3346
Phone: (605) 677-3700
Fax: (605) 667-3701
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 09, 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 RADIOLOGY

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
medicaidIA0537886
medicaidMN281988100
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.

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,
NORTHBROOK, IL 77025-1669