NPIMap

Organization Active NPI

Sanford Clinic

Doing business as Sanford Vascular Associates

  • Surgery Physician
  • Windom, MN
National Provider Identifier
1194733535
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SANFORD CLINIC
Doing business as
Sanford Vascular Associates
Practice address
2150 Hospital Dr
Windom, MN 56101-1287
Phone
(507) 831-0652
Fax
(507) 831-5528
NPI assigned
Aug 3, 2006
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tony Lee Morrison
Title
Vice President, Revenue Cycle
Phone
(605) 328-8380

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Medical-Surgical Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WM0705X
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X
Cardiovascular Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246X00000X
Health Information Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Y00000X
Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 247100000X
Vascular Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471V0105X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2150 Hospital Dr
Windom, MN 56101-1287

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 677-3700

Other practice location 2

2100 Highland Way
Mitchell, SD 57301-6426
Phone (605) 996-0440

Other practice location 3

1521 Carlson St
Marshall, MN 56258-2626
Phone (507) 532-1101

Other practice location 4

310 W Sd Highway 46
Wagner, SD 57380-9304
Phone (605) 384-4577

Other practice location 5

1000 Lincoln Cir SE Ste 100
Orange City, IA 51041-1864
Phone (712) 737-4984

Other practice location 6

922 22nd Ave S
Brookings, SD 57006-2830
Phone (605) 697-1900

Other practice location 7

104 Buncombe Dr
Rock Rapids, IA 51246-1003
Phone (712) 472-3333

Other practice location 8

1018 6th Ave
Worthington, MN 56187-2202
Phone (605) 328-3350

Other practice location 9

118 N 7th Ave
Sheldon, IA 51201-1235
Phone (712) 324-5041

Other practice location 10

591 2nd Ave N
Windom, MN 56101-1927
Phone (507) 831-2223

Other practice location 11

323 SW 10th St
Madison, SD 57042-3200
Phone (605) 256-6551

Other practice location 12

745 E 8th St
Winner, SD 57580-2631
Phone (605) 842-7100

Other names 1

  • Sanford Vascular Associates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031110000532 SD Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 941 practitioners
This NPI is an additional NPI on the enrollment
O20040115000943 MN Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 113 practitioners
30 other NPIs on this enrollment
Practice locations: Prior Lake, MN; Slayton, MN; Tracy, MN; Walker, MN; Windom, MN; Worthington, MN; Stillwater, MN; Luverne, MN…
O20040216001158 IA Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 66 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sheldon, IA; Sioux City, IA; Rock Rapids, IA; Orange City, IA; Inwood, IA; Hawarden, IA

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 37

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 37

National Provider Directory

National Provider Directory

Locations

450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

310 W SD Highway 46
Wagner, SD 57380
Phone (605) 384-4577

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Luther Memorial HomeMayville, ND, CCN 355040 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2020
Aug 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 127

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 127

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1194733535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HOSPITAL DR",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011287",
            "telephone_number": "507-831-0652",
            "fax_number": "507-831-5528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 S Plum St",
            "address_purpose": "LOCATION",
            "city": "Vermillion",
            "state": "SD",
            "postal_code": "570693346",
            "country_code": "US",
            "telephone_number": "605-677-3700",
            "fax_number": "605-677-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Highland Way",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573016426",
            "country_code": "US",
            "telephone_number": "605-996-0440",
            "fax_number": "605-996-0401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 Carlson St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562582626",
            "country_code": "US",
            "telephone_number": "507-532-1101",
            "fax_number": "507-532-9631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 W Sd Highway 46",
            "address_purpose": "LOCATION",
            "city": "Wagner",
            "state": "SD",
            "postal_code": "573809304",
            "country_code": "US",
            "telephone_number": "605-384-4577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Lincoln Cir SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "IA",
            "postal_code": "510411864",
            "country_code": "US",
            "telephone_number": "712-737-4984",
            "fax_number": "712-737-5291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "922 22nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "SD",
            "postal_code": "570062830",
            "country_code": "US",
            "telephone_number": "605-697-1900",
            "fax_number": "605-697-1919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Buncombe Dr",
            "address_purpose": "LOCATION",
            "city": "Rock Rapids",
            "state": "IA",
            "postal_code": "512461003",
            "country_code": "US",
            "telephone_number": "712-472-3333",
            "fax_number": "712-472-2878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1018 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "MN",
            "postal_code": "561872202",
            "country_code": "US",
            "telephone_number": "605-328-3350",
            "fax_number": "305-328-3351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 N 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Sheldon",
            "state": "IA",
            "postal_code": "512011235",
            "country_code": "US",
            "telephone_number": "712-324-5041",
            "fax_number": "712-324-6015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "591 2nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Windom",
            "state": "MN",
            "postal_code": "561011927",
            "country_code": "US",
            "telephone_number": "507-831-2223",
            "fax_number": "507-831-0135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 SW 10th St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "SD",
            "postal_code": "570423200",
            "country_code": "US",
            "telephone_number": "605-256-6551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Winner",
            "state": "SD",
            "postal_code": "575802631",
            "country_code": "US",
            "telephone_number": "605-842-7100",
            "fax_number": "605-842-7173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "605-328-8380"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanford Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windom, MN

Sources for this page

Verify at the official NPI Registry.