SANFORD HEALTH NETWORK
NPI 1134787930
Clinic/Center - Multi-Specialty in Lake Park, IA

NPI Status: Active since June 05, 2019

Contact Information

215 N MARKET ST
SUITE 2
LAKE PARK, IA
ZIP 51347
Phone: (712) 832-9559
Fax: (877) 368-6054

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance
  • CLIA Number: 43D2097696
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-22-2027

About SANFORD HEALTH NETWORK

This page provides the complete NPI Profile along with additional information for Sanford Health Network, a provider established in Lake Park, Iowa operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1134787930 assigned on June 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Tony Lee Morrison (Vice President, Revenue Cycle)

NPI
1134787930
Provider Legal Name
SANFORD HEALTH NETWORK
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
215 N MARKET ST SUITE 2 LAKE PARK, IA 51347
Location Phone
(712) 832-9559
Location Fax
(877) 368-6054
Mailing Address
PO BOX 5074 SIOUX FALLS, SD 57117
Mailing Phone
(605) 312-8854
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-05-2019
Last Update Date
01-23-2025
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Location Map

Secondary Locations

  • 215 Market St Ste 2
    Lake Park, IA 51347
    (712) 324-6282

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elevate by Medica Bronze $0 Copay PCP Visits - EPO
  • Elevate by Medica Bronze Share - EPO
  • Elevate by Medica Expanded Bronze Standard - EPO
  • Elevate by Medica Gold $0 Copay PCP Visits - EPO
  • Elevate by Medica Gold Share - EPO
  • Elevate by Medica Gold Standard - EPO
  • Elevate by Medica Silver $0 Copay PCP Visits - EPO
  • Elevate by Medica Silver Share - EPO
  • Elevate by Medica Silver Standard - EPO
  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,000 - HMO
  • Sanford Individual TRUE $7,100 HSA Qualified - HMO
  • Sanford Individual TRUE $9,200 - HMO
  • Sanford Individual TRUE Standardized $1,500 - HMO
  • Sanford Individual TRUE Standardized $5,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TONY LEE MORRISON

Authorized Official Title
VICE PRESIDENT, REVENUE CYCLE
Authorized Official Phone
(605) 328-8380

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D2097696
Facility Type
Physician Office
Certificate Effective Date
June 23, 2025
Certificate Expiration Date
June 22, 2027
Laboratory Director
ELIZABETH HINDBJORGEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sanford Health Network to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SANFORD HEALTH NETWORK

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134787930
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641481496
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 4 + 8 + 1 + 4 + 9 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1134787930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134787930, enumerated in the NPI registry as an "organization" on June 05, 2019

The provider is located at 215 N Market St Suite 2 Lake Park, Ia 51347 and the phone number is (712) 832-9559

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 43D2097696 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 05, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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