Active NPI
Sanford Clinic
Doing business as Sanford Clinic Family Medicine Huron
- Family Medicine Physician
- Huron, SD
National Provider Identifier
1366635740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SANFORD CLINIC
- Doing business as
- Sanford Clinic Family Medicine Huron
- Practice address
- 433 Kansas Ave SE
Huron, SD 57350-2561 - Phone
- (605) 352-2117
- Fax
- (605) 325-5513
- NPI assigned
- Aug 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Goetsch
- Title
- Cfo
- Phone
- (605) 328-6940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
433 Kansas Ave SE
Huron, SD 57350-2561
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other names 1
- Sanford Clinic Family Medicine Huron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000532 | SD | Part B Supplier - Clinic/Group Practice | 0244143824 |
Receives reassigned benefits from 941 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
433 Kansas Ave SE
Huron, SD 57350
Phone (605) 352-2117
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physician Assistant
- Huron, SD
- NPI 1174799373
-
- Family Medicine Physician
- Huron, SD
- NPI 1417928805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228262400000",
"number": "1366635740",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 KANSAS AVE SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502561",
"telephone_number": "605-352-2117",
"fax_number": "605-325-5513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANFORD CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2008-12-03",
"status": "A",
"authorized_official_last_name": "GOETSCH",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "605-328-6940"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sanford Clinic Family Medicine Huron",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.