Sanford Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SANFORD CLINIC

Doing business as

Sanford Clinic Family Medicine Hartford

Practice address

905 N Oaks Ave
Hartford, SD 57033-6358

Phone

(605) 528-3725

Fax

(605) 528-3741

NPI assigned

Jul 25, 2006

Last updated

Jul 6, 2020By the provider in NPPES

Organization subpart

No

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 3

Addresses

Other names 1

• Sanford Clinic Family Medicine Hartford Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• Scott W Ecklund, MD

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1306892633
  NPD
• Thomas H Flesher III, M.D.

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1053407619
  NPD
• Rose Marie Hoiten, CNM,CNP,IBCLC

  • Advanced Practice Midwife
  • Chamberlain, SD
  • NPI 1962496752
  NPD
• Brenna L Tate, CNM

  • Advanced Practice Midwife
  • Worthington, MN
  • NPI 1164756243
  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1700809795",
    "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": "905 N OAKS AVE",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "570336358",
            "telephone_number": "605-528-3725",
            "fax_number": "605-528-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "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": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Clinic Family Medicine Hartford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Clinic Family Medicine Hartford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prairie Rehabilitation Services, Inc
• Prairie Rehabilitation Services, Inc. (Hartford Therapy Services)
• Vincent Gerard Reilly, RPH
• Root and Bloom Mental Health PLLC
• Michael John Rowles, PT
• Mica Skinner, MS, OTR/L
• Lindsay Smith
• Jayson Dale Snyder, DC
• Soul Sign Co LLC
• Bradley Tyler

• Family Medicine Physician in Hartford, SD
• Providers in Hartford, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.