SANFORD CLINIC LAKE NORDEN
NPI 1417927559
Clinic/Center - Rural Health in Lake Norden, SD

Q: What is Sanford Medical Center's NPI number?

The NPI number for Sanford Medical Center is 1417927559. It was assigned to this organization in the NPPES registry on January 23, 2006. The provider is doing business as Sanford Clinic Lake Norden.

Q: What is Sanford Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since January 23, 2006CLIA 43D0658899 · Waiver

512 MAIN AVE, LAKE NORDEN, SD 57248(605) 873-2222(605) 873-2182 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 19, 2022, Dec 15, 2022, Nov 30, 2022 and 2 more (5 updates tracked since 2019).

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About Sanford Clinic Lake Norden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANFORD CLINIC LAKE NORDEN (NPI 1417927559) is a healthcare organization registered as a rural health in Lake Norden, South Dakota and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Tony Lee Morrison, Vp, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1417927559

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSANFORD MEDICAL CENTER

Location Address512 MAIN AVELake Norden, SD 57248-0079

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-7177

Phone(605) 873-2222

Fax(605) 873-2182

Organization SubpartNo

Authorized OfficialTony Lee MorrisonVp, Revenue Cycle · (605) 328-8380

Enumeration DateJanuary 23, 2006

Last NPPES UpdateDecember 19, 20225 updates tracked since enumeration

NPPES CertifiedDecember 19, 2022

✔ NPI 1417927559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

512 MAIN AVE, Lake Norden, SD 57248

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Other Names 1

Doing Business AsSanford Clinic Lake Norden

Other Identifiers 1

Medicaid5300462SD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D0658899

Sanford Clinic Lake Norden · Lake Norden, SD

Active · expires Jan 4, 2028

CLIA Number43D0658899

Laboratory TypeRural Health Clinic

Certificate Effective DateJanuary 5, 2026

Certificate Expiration DateJanuary 4, 2028

Laboratory DirectorWilliam Devine

Laboratory Phone(605) 785-3633

Laboratory LocationSanford Clinic Lake Norden512 Main Ave PO Box 79, Lake Norden, SD 57248

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDI L ANDERSON CNP

Nurse Practitioner (Family)

512 MAIN AVE
LAKE NORDEN, SD 57248

Hamlin County (605) 785-3633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanford Medical Center's NPI number?

The NPI number for Sanford Medical Center is 1417927559. It was assigned to this organization in the NPPES registry on January 23, 2006. The provider is doing business as Sanford Clinic Lake Norden.

Where is Sanford Medical Center located?

Sanford Medical Center is located at 512 Main Ave, Lake Norden, SD 57248. The listed phone number is (605) 873-2222.

What is Sanford Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Sanford Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0658899) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sanford Medical Center accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Sanford Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanford Medical Center was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.