SANFORD MEDICAL CENTER (NPI# 1538181326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538181326 |
| Entity Type | Organization |
| Organization Name | SANFORD MEDICAL CENTER |
| Other Organization Name | SANFORD USD MEDICAL CENTER - MADISON DIALYSIS |
| Practice Address |
323 Sw 10th St Madison SD 57042 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6052568870 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | Y |
| Parent Organization Name | SANFORD MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
10564 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS SD | 83507 | 01 |
| Other Name | Type Code |
|---|---|
| Sanford USD Medical Center | Doing Business As Name - Organization |
| Sanford USD Medical Center - Madison Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881110484 | Sanford Medical Center | Clinic/Center | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2017-08-16 |
| 1407107808 | Sanford Medical Center | General Acute Care Hospital | 1210 W 18th St, Suite Llo1, Sioux Falls, SD 57104-4647 | 2012-09-25 |
| 1093090342 | Sanford Medical Center | Nurse Practitioner | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2011-10-19 |
| 1588845267 | Sanford Medical Center | Clinic/Center | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
| 1023299708 | Sanford Medical Center | Ambulance | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
| 1841471521 | Sanford Medical Center | Pediatrics | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
| 1932380615 | Sanford Medical Center | Ambulance | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
| 1932123452 | Sanford Medical Center | Rehabilitation Unit | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-07-27 |
| 1912921438 | Sanford Medical Center | Clinic/Center | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-07-27 |
| 1326060054 | Sanford Medical Center | Clinic/Center | 111 Washington St, Wagner, SD 57380 | 2006-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SANFORD MEDICAL CENTER | 1305 W. 18th Street, Sioux Falls, SD 57105 |
| Colorado Business Entities | Sanford Medical Center | 1305 W. 18th Street, Sioux Falls, SD 57105 |
| System for Award Management (SAM) Entities | SANFORD MEDICAL CENTER | 1305 W 18th St, Sioux Falls, SD 57105-0401 |
| Oregon Corporations, Companies and Business Names | SANFORD MEDICAL CENTER | 1305 W 18th Street, Sioux Falls, SD 57105 |
| Washington State Corporations | SANFORD MEDICAL CENTER | 1305 W 18th St, Sioux Falls, SD 57105-0401 |
| System for Award Management (SAM) Entities | SANFORD MEDICAL CENTER FARGO | 720 N 4th St, Fargo, ND 58122-4520 |
| System for Award Management (SAM) Entities | SANFORD MEDICAL CENTER MAYVILLE | 42 6th Ave Se, Mayville, ND 58257-1506 |
| System for Award Management (SAM) Entities | SANFORD MEDICAL CENTER THIEF RIVER FALLS | 120 Labree Ave S Ste A, Thief River Falls, MN 56701-2840 |
| Connecticut Business Registrations | SANFORD MEDICAL CENTER, INC. | 1305 W. 18th Street, Sioux Falls, SD 57105 |
| Street Address |
323 SW 10TH ST |
| City | MADISON |
| State | SD |
| Zip Code | 57042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508843327 | Wayne A Wetzbarger | Internal Medicine | 323 Sw 10th St, Madison, SD 57042-3200 | 2005-12-22 |
| 1194339614 | Emily Spanier | Physician Assistant | 323 Sw 10th St, Madison, SD 57042-3200 | 2020-09-02 |
| 1245796770 | Paul Bindert | Physical Therapist | 323 Sw 10th St, Madison, SD 57042-3200 | 2019-02-20 |
| 1154898971 | Jordan Elisabeth Eichacker | Dietitian, Registered | 323 Sw 10th St, Madison, SD 57042-3200 | 2018-10-30 |
| 1619461290 | Heather Hagberg | Speech-Language Pathologist | 323 Sw 10th St, Madison, SD 57042-3200 | 2018-06-18 |
| 1073971321 | Jackie Joanne Bau | Nurse Practitioner | 323 Sw 10th St, Madison, SD 57042-3200 | 2016-02-02 |
| 1568839983 | Lewis Drugs, Inc. | Pharmacy | 323 Sw 10th St, Suite 101, Madison, SD 57042 | 2015-09-02 |
| 1114336153 | Meggan Leigh Reisch | Registered Nurse | 323 Sw 10th St, Madison, SD 57042-3200 | 2014-08-04 |
| 1750624177 | Laura Hoefert | Family Medicine | 323 Sw 10th St, Madison, SD 57042-3200 | 2013-04-03 |
| 1326301128 | Ben Liscano | Family Medicine | 323 Sw 10th St, Madison, SD 57042-3200 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316493042 | Renae Christensen | Psychologist | 820 N. Washington Ave., Madison, SD 57042 | 2016-09-01 |
| 1275080889 | Lance Koenig | Psychologist | 820 North Washington Ave, Plec Dakota State University, Madison, SD 57042 | 2016-09-01 |
| 1699145532 | Counseling Associates, Alla Jones | Counselor | 726 S. Washington Ave., Madison, SD 57042 | 2015-10-05 |
| 1619222080 | Laura Elizabeth Larsen | Occupational Therapist | 917 North Washington, Madison, SD 57042 | 2012-07-20 |
| 1639470925 | Jessica Rogers | Physical Therapy Assistant | 416 South Harth Ave., Madison, SD 57042 | 2010-11-03 |
| 1093924169 | Bradley Dale Gilbert | Specialist/Technologist | 1302 N Washington Ave, Madison, SD 57042 | 2007-05-22 |
| 1659420073 | Every Citizen Counts Organization | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 706 Sw 7th St, Madison, SD 57042 | 2007-01-09 |
| 1912076985 | Larry Paul Green Sr. | Dentist | 102 N Egan Ave, Madison, SD 57042 | 2006-11-06 |
| 1306854062 | Michael Steven Brooke | Optometrist | 302 N Harth Avenue, Madison, SD 57042 | 2006-08-04 |
| 1336118181 | Douglas J Caron | Chiropractor | 120 Nw 2nd St, Madison, SD 57042 | 2006-03-15 |
| Find all providers in zip 57042 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992352082 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 4600 American Pkwy Ste 102, Madison, WI 53718-8334 | 2019-08-22 |
| 1053836486 | American Kidney Center of Madison LLC | Clinic/Center | 419 Clifty Dr, Madison, IN 47250-1607 | 2017-08-07 |
| 1487108668 | Total Renal Care, Inc | Clinic/Center | 1221 Briarville Rd, Madison, TN 37115-5145 | 2016-08-05 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1114368065 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 29569 Huntsville Brownsferry Rd, Madison, AL 35756-3639 | 2013-07-08 |
| 1871680264 | Athens Kidney Center, PC | Clinic/Center | 1311 Atlanta Hwy, Madison, GA 30650-2069 | 2006-10-06 |
| 1245342054 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 40 Hughes Rd, Madison, AL 35758-2220 | 2006-08-31 |
| 1114035912 | Wisconsin Dialysis, Inc. | Clinic/Center | 4600 American Pkwy, Ste 108, Madison, WI 53718-8337 | 2006-08-29 |
| 1396762035 | Bio-medical Applications of Indiana, Inc. | Clinic/Center | 1708 Cragmont St, Madison, IN 47250-2808 | 2006-07-17 |
| 1861420416 | Dialysis Clinic Inc. | Clinic/Center | 605 W Due West Ave, Madison, TN 37115-4423 | 2006-06-30 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.