NPIMap

Organization Active NPI

Sanford Clinic

Doing business as Sanford Health Adrian Clinic

  • Family Medicine Physician
  • Adrian, MN
National Provider Identifier
1831178052
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANFORD CLINIC
Doing business as
Sanford Health Adrian Clinic
Practice address
201 Maine Ave
Adrian, MN 56110-1214
Phone
(507) 483-2668
Fax
(507) 483-2925
NPI assigned
Jan 16, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

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 1

  • Sanford Health Adrian Clinic Doing business as

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

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…

Other NPIs on the same Medicare enrollment 28

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

View all 28

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1065114Sanford Adrian Clinic Laboratory201 Maine Avenue, Adrian, MN 56110ComplianceFeb 6, 2028

National Provider Directory

National Provider Directory

Member organizations 53

Organizations listed as members of this organization in the National Provider Directory.

View all 53

Locations (25 of 27)

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

2534 Glenn Ave
Sioux City, IA 51106
Phone (712) 274-7822

209 Maine Ave
Adrian, MN 56110
Phone (507) 483-2332

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

107 1st St E
Canby, MN 56220
Phone (507) 223-5818

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

414 N 7th St
Bismarck, ND 58501
Phone (701) 323-5870

4820 23rd Ave S
Fargo, ND 58104

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

4825 Higbee Ave NW
Ste 102
Canton, OH 44718
Phone (330) 453-9085

3313 6th Ave SE
Aberdeen, SD 57401
Phone (605) 225-7344

1105 E Holly Blvd
Brandon, SD 57005
Phone (605) 528-8520

1447 Jackrabbit Ave
Brookings, SD 57007
Phone (605) 696-3000

3006 Tower Rd
Ste 200
Rapid City, SD 57701

1210 W 18th St
Sioux Falls, SD 57104
Phone (605) 328-1860

1210 W 18th St
Ste G02
Sioux Falls, SD 57104
Phone (605) 328-1848

136 S Phillips Ave
Ste 102
Sioux Falls, SD 57104

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

1420 W 22nd St
Ste 510
Sioux Falls, SD 57105
Phone (605) 328-7500

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

2310 S Marion Rd
Sioux Falls, SD 57106

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

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

900 E 54th St N
Sioux Falls, SD 57104
Phone (605) 328-9300

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1831178052",
    "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",
            "fax_number": "605-328-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAINE AVE",
            "city": "ADRIAN",
            "state": "MN",
            "postal_code": "561101214",
            "telephone_number": "507-483-2668",
            "fax_number": "507-483-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-07",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanford Health Adrian Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.