Organization Name:  SANFORD HEALTH NETWORK


Practice Location:
1601 SIOUX VALLEY DR  LUVERNE, MN 56156 US
Tel: 507-283-4476  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207RA0000X	Physicians Internal Medicine Adolescent Medicine
N	207RA0401X	Physicians Internal Medicine
N	207V00000X	Physicians Obstetrics & Gynecology
N	208000000X	Physicians Pediatrics
N	2083P0500X	Physicians Preventive Medicine
N	207K00000X	Physicians Allergy & Immunology
N	2083P0901X	Physicians Preventive Medicine
N	2083X0100X	Physicians Preventive Medicine
N	2085B0100X	Physicians Radiology
N	2085R0202X	Physicians Radiology
N	2085U0001X	Physicians Radiology
N	208600000X	Physicians Surgery
N	208800000X	Physicians Urology
N	208D00000X	Physicians General Practice
Y	207Q00000X	Physicians Family Medicine

Other Provider Identifiers:

Issuer	Number	State	Type
	979662200	MN	05
	0562025	IA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin