SANFORD MEDICAL CENTER (NPI# 1881110484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881110484 |
| Entity Type | Organization |
| Organization Name | SANFORD MEDICAL CENTER |
| Other Organization Name | SANFORD USD MEDICAL CENTER-HEMODIALYSIS |
| Practice Address |
1321 W 22nd St Sioux Falls SD 57105-1502 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6054044300 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2020-07-09 |
| 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 |
| Other Name | Type Code |
|---|---|
| Sanford USD Medical Center | Doing Business As Name - Organization |
| SANFORD USD MEDICAL CENTER - HEMODIALYSIS | Doing Business As Name - Organization |
| Sanford USD Medical Center-Hemodialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
1321 W 22ND ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821011768 | Sanford Clinic | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2006-07-25 |
| 1740844018 | Dylan Michael Platt | Genetic Counselor, MS | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2019-04-23 |
| 1881170132 | Sherin Shaaban | Pathology | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2018-07-18 |
| 1750872735 | Kaitlyn Drew Burns | Genetic Counselor, MS | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2018-05-24 |
| 1427549401 | Allison Mariette Hutchinson | Genetic Counselor, MS | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2018-05-24 |
| 1518351808 | Hadi Lafta Al-hasnawi | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105 | 2015-03-24 |
| 1710377544 | Wais Afzal | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2015-02-02 |
| 1669888566 | Vivek Joseph | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2014-07-11 |
| 1316280936 | Ukamaka N Nwadibia | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2013-04-02 |
| 1871881284 | Aaroop Haridas | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2011-07-19 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033178660 | Total Renal Care Inc | Clinic/Center | 2326 W 69th St, Sioux Falls, SD 57108-5600 | 2006-03-22 |
| 1710316252 | Avera Mckennan | Clinic/Center | 1315 S Cliff Ave, Ste 4000, Sioux Falls, SD 57105-1058 | 2013-11-05 |
| 1770753246 | Avera Mckennan | Clinic/Center | 1417 S Cliff Ave, Suite 302, Sioux Falls, SD 57105-1062 | 2008-03-11 |
| 1912921438 | Sanford Medical Center | Clinic/Center | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437502614 | Total Renal Care Inc | Clinic/Center | 3313 6th Ave Se, Aberdeen, SD 57401-5504 | 2016-07-22 |
| 1922318666 | Dialysis Management Group LLC | Clinic/Center | Hcr 49, Porcupine, SD 57772-0000 | 2010-10-15 |
| 1255415246 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 132 Yankee St, Spearfish, SD 57783-2948 | 2006-10-25 |
| 1184711061 | Total Renal Care | Clinic/Center | 400 Park, Gregory, SD 57533 | 2006-10-10 |
| 1710087713 | Black Hills Dialysis, LLC | Clinic/Center | 100 Dialysis Drive, Pine Ridge, SD 57770-3013 | 2006-09-22 |
| 1356301519 | Total Renal Care Inc | Clinic/Center | 1 Soldier Creek Rd, Rosebud, SD 57570-0610 | 2006-03-23 |
| 1477512093 | Total Renal Care Inc | Clinic/Center | 819 E Spruce St, Ste 100, Mitchell, SD 57301-4800 | 2006-03-22 |
| 1487621116 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 640 Flormann St Ste 401, Rapid City, SD 57701-4679 | 2006-03-01 |
| 1952841629 | Avera Mckennan | Clinic/Center | 301 Flynn Dr, Ste 4, Milbank, SD 57252-1508 | 2017-03-01 |
| 1235673948 | Fresenius Medical Care Dakota Dunes, LLC | Clinic/Center | 357 W Tower Rd, Dakota Dunes, SD 57049-5018 | 2016-12-14 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on SANFORD MEDICAL CENTER.
| 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.