SANFORD MEDICAL CENTER


Address: 1305 W 18th St, Sioux Falls, SD 57105-0401
Phone: 6053331000

SANFORD MEDICAL CENTER (NPI# 1912921438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912921438
Entity Type Organization
Organization Name SANFORD MEDICAL CENTER
Other Organization Name SANFORD USD MEDICAL CENTER - SH DIALYSIS
Practice Address 1305 W 18th St
Sioux Falls
SD 57105-0401
Mailing Address Po Box 5074
Sioux Falls
SD 57117-5074
Practice Telephone 6053331000
Mailing Telephone 6053286585
Mailing Fax Number 6053286512
Enumeration Date 2006-07-27
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

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS SD 82301 01

Other Provider/Organization Names

Other Name Type Code
Sanford USD Medical Center Doing Business As Name - Organization
Sanford USD Medical Center - SH Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Other Data Sources

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

Office Location

Street Address 1305 W 18TH ST
City SIOUX FALLS
State SD
Zip Code 57105-0401

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033178660 Total Renal Care Inc Clinic/Center 2326 W 69th St, Sioux Falls, SD 57108-5600 2006-03-22
1881110484 Sanford Medical Center Clinic/Center 1321 W 22nd St, Sioux Falls, SD 57105-1502 2017-08-16
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

Providers in the same taxonomy and state

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
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Competitor

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City SIOUX FALLS
Zip Code 57105

Improve Information

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Dataset Information

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.

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