Sanford Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SANFORD CLINIC

Doing business as

Sanford Health Post-Acute and Community Services

Practice address

12856 Deauville Dr
Omaha, NE 68137-3204

Phone

(402) 895-2266

Fax

(402) 895-8964

NPI assigned

Dec 24, 2019

Last updated

Jun 29, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SANFORD CLINICAs reported in NPPES

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 1

Addresses

Other names 1

• Sanford Health Post-Acute and Community Services Doing business as

Part of

Sanford Clinic

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1215576178",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12856 DEAUVILLE DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373204",
            "telephone_number": "402-895-2266",
            "fax_number": "402-895-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANFORD CLINIC",
        "enumeration_date": "2019-12-24",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Health Post-Acute and Community Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Health Post-Acute and Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Sane
• Amanda Saner
• Joyce Saner
• Mickaela Saner
• Timothy Louis Saner, PRACTICAL NURSE
• Sanford Mental Health Services
• Barbara Sanford, LMHP
• Brandy M Sanford, APRN
• John Sanford
• John G Sanford, CRNA

• Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.