SANFORD MEDICAL CENTER (NPI# 1588845267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588845267 |
| Entity Type | Organization |
| Organization Name | SANFORD MEDICAL CENTER |
| Other Organization Name | SANFORD USD MEDICAL CENTER- CHILDS VOICE |
| Practice Address |
1305 W 18th St Sioux Falls SD 57105-0401 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 0653331000 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2020-07-02 |
| 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 | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5400130 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford USD Medical Center | Doing Business As Name - Organization |
| Sanford USD Medical Center- Childs Voice | 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 |
| 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 |
| 1538181326 | Sanford Medical Center | Clinic/Center | 323 Sw 10th St, Madison, SD 57042 | 2006-07-24 |
| 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 |
1305 W 18TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366500 | Scott Pham | Internal Medicine | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2005-06-16 |
| 1295336279 | Lindsey Marie Palmer | Registered Nurse | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-11-05 |
| 1437757622 | Gregory P Studer | Nurse Practitioner | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-10-11 |
| 1992316772 | Kyle Garrett Wescott | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-08-13 |
| 1205445871 | Elizabeth Halverson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-07-29 |
| 1174149710 | Kyle Mamer | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-19 |
| 1750906186 | Gabriel Steinborn | Anesthesiology | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-11 |
| 1972128692 | Carrie Jane Anderson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-09 |
| 1437772134 | Laura Anne Taylor | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-05-28 |
| 1215550991 | Ana Beatriz Nevarez Gilbert | Student in an Organized Health Care Education/Training Program | 1305 W 18th St, Sioux Falls, SD 57105 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740413152 | Midwest Pain and Rehabilitation Clinic Ltd. | Clinic/Center | 3934 S Western Ave, Sioux Falls, SD 57105-6513 | 2009-09-01 |
| 1780811778 | Sioux Falls Physical Medicine and Rehabilitation, PC | Clinic/Center | 101 W 69th Str., Ste 103, Sioux Falls, SD 57108-2440 | 2009-06-17 |
| 1972506939 | Dakota Surgical Ltd | Clinic/Center | 911 E 20th St, Ste 300, Sioux Falls, SD 57105-1045 | 2005-05-24 |
| 1467695767 | Avera Mckennan | Clinic/Center | 1000 E 23rd St, Suite 330, Sioux Falls, SD 57105-2113 | 2009-04-16 |
| 1154531630 | Avera Mckennan | Clinic/Center | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2007-05-23 |
| 1497713424 | Heartland Orthopedic Clinic PC | Clinic/Center | 1727 S Cleveland Ave, Sioux Falls, SD 57103-3245 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831329374 | Dr. Tim A. Benning, Chiropractor | Clinic/Center | 22736 S Rochford Rd, Hill City, SD 57745-6006 | 2009-07-17 |
| 1447295423 | Regional Health Physicians Inc | Clinic/Center | 908 H Street, Edgemont, SD 57735-0687 | 2006-06-17 |
| 1558734061 | Regional Health Network Inc | Clinic/Center | 130 N 15th St, Hot Springs, SD 57747-1316 | 2015-11-05 |
| 1811366438 | Rapid City Regional Hospital Inc | Clinic/Center | 640 Flormann St, Rapid City, SD 57701-4679 | 2015-09-24 |
| 1386062156 | Fromm Dermatology, P.C. | Clinic/Center | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2014-03-31 |
| 1124464128 | Avera St. Mary's | Clinic/Center | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-05-16 |
| 1619229556 | Kent M. Patrick, M.d., P.C. | Clinic/Center | 2525 Fox Run Pkwy, Suite 200, Yankton, SD 57078-5370 | 2012-10-02 |
| 1164622098 | Prairie Dermatology PC | Clinic/Center | 201 S Lloyd St, Suite E206, Aberdeen, SD 57401-4552 | 2007-07-19 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.