Sanford Clinic
Organization Active NPI Family Medicine Physician · Rock Rapids, IA
NPI 1396218244 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1396218244
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SANFORD CLINIC
- Practice address
- 104 Buncombe Dr
Rock Rapids, IA 51246-1003 - Phone
- (712) 472-3716
- Fax
- (712) 472-2878
- NPI assigned
- Jan 3, 2019
- Organization subpart
- No
Authorized official
- Name
- Tony Lee Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8380
Other NPIs on the same Medicare enrollment 24
Practitioners 18
-
Amy Margreta Badberg, M.D.
-
Ryan James Becker, M.D.
-
Chester Penn De Jong, M.D.
-
Rebecca R Hein, OTR/L
-
Sarah Jo Heinen, MD
-
Brynn Ladd, PT
-
Austyn Joan Reker, PT, DPT, ATC, LAT
-
Melissa Marlene Sandbulte, ATC, DPT
-
Brenda Ranee Vis, P.A.
-
Amy L Wingert, M.D.
-
Ann Marie Busker, REGISTERED DIETITIAN
-
Sarah Heckel, CNP
-
Chuanbing Huo, SLP
-
Tracy Renae Kramer, P.T.
-
Karla Jo Laabs Kruse, MAOTR/L
-
Matthew N Witte, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
104 Buncombe Dr
Rock Rapids, IA 51246-1003
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other names
- Sanford Health Rock Rapids Clinic
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Rock Rapids, IA
- Rock Rapids Care Center, LLC
- Rock River Eye Care, PC
- Rebecca Lynn Roemen
- Michael Lee Roetman
- Melissa Marlene Sandbulte
- Sanford Health Network
- Sanford Home Health
- Sanford Medical Center
- David James Springer
- Stonebridge Suites of Rock Rapids, LLC
All providers in Rock Rapids, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.