Organization · Type 2 NPI

Sanford Health Network

Rural Health Clinic/Center · Sanborn, IA

NPI number 1144302191 Active

Practice location

321 Main St
Sanborn, IA 51248-0400

Fax (712) 729-5767

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

NPI record

NPI: 1144302191
Entity type: Organization (Type 2)
Issued: Oct 19, 2006
Last updated: Nov 27, 2023
Status: Active
Subpart: Yes of Sanford Health Network

Other names

<unavail>
Sanford Clinic Sanborn · doing business as
Sanford Clinic Sanborn · doing business as

Authorized official

Joel Mason Gustafson
Administrator
(712) 324-5356

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144302191

Sanford Health Network's National Provider Identifier is 1144302191, issued on Oct 19, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Sanborn, IA. The record was last updated on Nov 27, 2023.