NPIMap

Organization Active NPI

Sanford Clinic

Doing business as Sanford Virtual Health Services

  • Diagnostic Radiology Physician
  • Fargo, ND
National Provider Identifier
1306641345
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SANFORD CLINIC
Doing business as
Sanford Virtual Health Services
Practice address
4820 23Rd Ave S
Fargo, ND 58104-9137
Phone
(056) 312-4160
NPI assigned
Feb 14, 2025
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

4820 23Rd Ave S
Fargo, ND 58104-9137

Mailing address

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

Other names 1

  • Sanford Virtual Health Services Doing business as

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, OK, ND, AZ, WI, AL, MO, CA, WA, MI, TN, IN, LA, FL, CO, NJ, TX17 enrollments

Enrollment records 17

Enrollment IDStateProvider typePAC IDDetails
O20040115000943 MN Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 113 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prior Lake, MN; Slayton, MN; Tracy, MN; Walker, MN; Windom, MN; Worthington, MN; Stillwater, MN; Luverne, MN…
O20090820000233 OK Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Oklahoma City, OK; Owasso, OK
O20110908001758 ND Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 94 practitioners
2 other NPIs on this enrollment
Practice locations: Forman, ND; Fargo, ND
O20251113000851 AZ Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gilbert, AZ; Marana, AZ; Mesa, AZ; Phoenix, AZ; Scottsdale, AZ
O20251205000691 WI Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 5 practitioners
Practice locations: Franklin, WI; Mequon, WI; New Berlin, WI; Rhinelander, WI; River Hills, WI
O20251223001526 AL Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 13 practitioners
Practice locations: Birmingham, AL; Vestavia Hills, AL; Vestavia, AL; Mountain BRK, AL; Decatur, AL; Cullman, AL; Chelsea, AL
O20251230001985 MO Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Saint Louis, MO
O20260102000292 CA Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA; Los Altos, CA
O20260106001461 WA Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 3 practitioners
Practice locations: Seattle, WA; Tacoma, WA; Ridgefield, WA
O20260114000634 MI Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 1 practitioner
Practice locations: Northville, MI
O20260117000331 TN Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 16 practitioners
Practice locations: Signal Mountain, TN; Nashville, TN; Brentwood, TN; Franklin, TN; Lebanon, TN; Hermitage, TN
O20260211000345 IN Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 3 practitioners
Practice locations: Greentown, IN; Terre Haute, IN; Newburgh, IN
O20260216002764 LA Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA
O20260217000951 FL Part B Supplier - Clinic/Group Practice 4385882976 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
Practice locations: Riverview, FL; Winter Park, FL; Winter Garden, FL; Tampa, FL; Sunrise, FL; St Petersburg, FL; Palmetto Bay, FL; Palm Harbor, FL…
O20260218001689 CO Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO
O20260219000785 NJ Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 1 practitioner
Practice locations: Little Silver, NJ
O20260220000328 TX Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 22 practitioners
Practice locations: Houston, TX; Irving, TX; Longview, TX; McKinney, TX; New Braunfels, TX; San Antonio, TX; Southlake, TX; Austin, TX…

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 30

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

View all 30

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Sanford West

    dba Sanford West Histocompatibility Laboratory

    • Clinical Medical Laboratory
    • Bismarck, ND
    • NPI 1700130515

    Member Of

    NPD member

Locations (25 of 29)

601 Louisiana Ave
Adrian, MN 56110
Phone (507) 483-2668

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

1205 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2986

103 E Lawler Ave
Ste 1319
Chamberlain, SD 57325
Phone (605) 328-9200

117 1st Ave W
Clark, SD 57225
Phone (605) 532-3676

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

903 N Washington Ave
Madison, SD 57042
Phone (605) 256-6951

640 E Sioux Ave
Ste 2
Pierre, SD 57501
Phone (605) 224-2010

101 E Minnesota St
Ste 230
Rapid City, SD 57701
Phone (605) 343-7295

2820 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 721-8121

3006 Tower Rd
Rapid City, SD 57701
Phone (605) 343-7295

1210 W 18th St
Ste 201
Sioux Falls, SD 57104
Phone (605) 328-1990

1210 W 18th St
Ste 203
Sioux Falls, SD 57104
Phone (605) 328-6924

1305 W 18th St
Spc Clin
Sioux Falls, SD 57105
Phone (605) 331-3130

1309 W 17th St
#1
Sioux Falls, SD 57104
Phone (605) 328-6055

1310 W 22nd St
Sioux Falls, SD 57105
Phone (605) 328-8200

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

1500 W 22nd St
Ste 301
Sioux Falls, SD 57105
Phone (605) 328-7700

1508 W 22nd St
Ste 101
Sioux Falls, SD 57105
Phone (605) 328-3840

2001 S Summit Ave
#771
Sioux Falls, SD 57197
Phone (605) 274-5552

2601 S Minnesota Ave
Ste 103
Sioux Falls, SD 57105
Phone (605) 306-6000

2701 S Kiwanis Ave
Sioux Falls, SD 57105
Phone (605) 328-0020

3803 N 4th Ave
Sioux Falls, SD 57104
Phone (605) 339-6181

401 E 8th St
Ste 230
Sioux Falls, SD 57103
Phone (605) 334-5099

7220 W 41st St
Ste 101
Sioux Falls, SD 57106

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 1,095

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 1,095

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1306641345",
    "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": "4820 23RD AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049137",
            "telephone_number": "056-312-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE",
        "authorized_official_telephone_number": "605-328-8380"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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",
            "affiliationName": "Cobius Healthcare Solutions",
            "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 Virtual Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.