NPIMap

Sanford Clinic

Organization Active NPI Family Medicine Physician · Adrian, MN

NPI 1831178052 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1831178052
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
SANFORD CLINIC
Practice address
201 Maine Ave
Adrian, MN 56110-1214
Phone
(507) 483-2668
Fax
(507) 483-2925
NPI assigned
Jan 16, 2006
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 28

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

View all 28

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1065114Sanford Adrian Clinic Laboratory
201 Maine Avenue, Adrian, MN 56110		ComplianceFeb 6, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

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…

National Provider Directory

Locations

366 Hillsboro Technology Dr
Deerfield Beach, FL 33441
Phone (954) 637-8860

800 Oak St
Sheldon, IA 51201
Phone (712) 324-5356

81 1st St NW
Blackduck, MN 56630
Phone (218) 835-4222

2170 Hospital Dr
Windom, MN 56101
Phone (507) 831-1422

401 S 22nd St
Beatrice, NE 68310
Phone (402) 228-3304

211 N Commercial St
Ste B
Clark, SD 57225
Phone (605) 532-3676

601 E 7th St
Platte, SD 57369
Phone (605) 337-2633

3006 Tower Rd
Ste 200
Rapid City, SD 57701

1420 W 22nd St
Ste 303
Sioux Falls, SD 57105

3401 W 49th St
Ste 1
Sioux Falls, SD 57106

1500 W 22nd St
Ste 105
Sioux Falls, SD 57105
Phone (605) 328-3800

2001 S Summit Ave
Sioux Falls, SD 57197
Phone (605) 274-0770

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

6101 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 312-8000

1310 W 22nd St
Uppr
Sioux Falls, SD 57105

1210 W 18th St
Ste LL04
Sioux Falls, SD 57104
Phone (605) 328-1457

2310 S Marion Rd
Sioux Falls, SD 57106

5920 E Madison St
Sioux Falls, SD 57110
Phone (605) 312-5000

2900 E 26th St
Sioux Falls, SD 57103
Phone (605) 339-6949

123 19th St NE
Watertown, SD 57201
Phone (605) 884-3512

703 S Broadway
Watertown, SD 57201
Phone (605) 882-1852

400 10th St NW
Watertown, SD 57201
Phone (605) 886-8491

101 Peabody Dr
Ste 101
Webster, SD 57274
Phone (605) 345-4141

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

201 Maine Ave
Adrian, MN 56110-1214

Mailing address

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

Other names

  • Sanford Health Adrian Clinic Doing business as

Electronic endpoints

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

Other providers in Adrian, MN

All providers in Adrian, MN · Family Medicine Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.