SANFORD HEALTH NETWORK (NPI# 1265718571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265718571 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH NETWORK |
| Other Organization Name | SANFORD CANTON CLINIC |
| Practice Address |
440 N Hiawatha Dr Canton SD 57013-5800 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6059872621 |
| Practice Fax Number | 6059875631 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | Y |
| Parent Organization Name | SANFORD HEALTH NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 51569 | SD | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 51569 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
51569 | SD | Hospitals |
| Other Name | Type Code |
|---|---|
| Sanford Canton Clinic | Doing Business As Name - Organization |
| SANFORD HOSPITAL CANTON INWOOD | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 303 E Jefferson St, Inwood, IA 512407766 | 7127534401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134787930 | Sanford Health Network | Clinic/Center | 215 N Market St, Suite 2, Lake Park, IA 51347-7706 | 2019-06-05 |
| 1073973483 | Sanford Health Network | Family Medicine | 733 Main St, Ste A, Edgerton, MN 56128-3000 | 2016-02-26 |
| 1376857664 | Sanford Health Network | Family Medicine | 15 S Plum St, Vermillion, SD 57069-3345 | 2010-07-29 |
| 1679726111 | Sanford Health Network | Family Medicine | 3971 320th St, Boyden, IA 51234-7500 | 2008-10-28 |
| 1033306931 | Sanford Health Network | Clinic/Center | 830 8th St, Walnut Grove, MN 56180-1117 | 2007-09-25 |
| 1962699868 | Sanford Health Network | Clinic/Center | 551 Us Highway 14, Balaton, MN 56115-3231 | 2007-09-25 |
| 1760676886 | Sanford Health Network | Pediatrics | 3015 3rd Ave Se Ste 104, Aberdeen, SD 57401-5539 | 2007-08-31 |
| 1710006739 | Sanford Health Network | Hospice Care, Community Based | 304 N Mckenzie St, Luverne, MN 56156-1526 | 2007-03-29 |
| 1407922321 | Sanford Health Network | Clinic/Center | 700 N Monroe St, Minneota, MN 56264-9237 | 2006-11-24 |
| 1033140454 | Sanford Health Network | Clinical Nurse Specialist | 400 N Hiawatha Drive, Canton, SD 57013 | 2006-07-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SANFORD HEALTH NETWORK | 1305 W. 18th Street, Po Box 5039, Sioux Falls, SD 57117 |
| System for Award Management (SAM) Entities | SANFORD HEALTH NETWORK NORTH | 801 Broadway N, Fargo, ND 58102-3641 |
| Street Address |
440 N HIAWATHA DR |
| City | CANTON |
| State | SD |
| Zip Code | 57013-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740244540 | Sanford Health Network | General Acute Care Hospital | 440 N Hiawatha Dr, Canton, SD 57013-5800 | 2006-04-17 |
| 1265674410 | Jolayn Marie Coquyt | Occupational Therapist | 440 N Hiawatha Dr, Canton, SD 57013-5800 | 2009-04-02 |
| 1497955769 | Amy M Olderbak | Occupational Therapist | 440 N Hiawatha Dr, Canton, SD 57013 | 2007-07-24 |
| 1750581898 | Amy Nicole Weier | Physical Therapist | 440 N Hiawatha Dr, Canton, SD 57013-5800 | 2007-07-18 |
| 1487853511 | Leah Marcella Peterson | Physical Therapist | 440 N Hiawatha Dr, Canton, SD 57013-5800 | 2007-07-18 |
| 1225139827 | Kelley J Christensen | Social Worker | 440 N Hiawatha Dr, Canton, SD 57013-5800 | 2006-09-26 |
| 1801991831 | Patricia Renee Ramse | Social Worker | 440 N Hiawatha Dr, Canton, SD 57013-5800 | 2006-09-14 |
| 1790740090 | Sanford Health Network | General Acute Care Hospital | 440 N Hiawatha Dr, Canton, SD 57013-5800 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275687741 | Melissa Brandner | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1699841064 | Canton School District | Local Education Agency (LEA) | 800 N Main, Canton, SD 57013 | 2006-11-28 |
| 1033140454 | Sanford Health Network | Clinical Nurse Specialist | 400 N Hiawatha Drive, Canton, SD 57013 | 2006-07-05 |
| 1669440434 | Chad Lane Tieszen | Chiropractor | 128 N Dakota St, Canton, SD 57013 | 2006-03-09 |
| 1245780717 | Chanesse Schaefer | Physician Assistant | 400 N Hiawatha Dr, Canton, SD 57013 | 2016-10-09 |
| 1245384718 | Gordon Schulte | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1134273600 | Dr. Gordon D Schulte PC | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1578544482 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 1022 N Dakota St, Canton, SD 57013-1004 | 2005-11-08 |
| 1093294787 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 1022 N Dakota St, Canton, SD 57013-1004 | 2018-08-13 |
| 1275673816 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 1022 N Dakota St, Canton, SD 57013-1004 | 2007-02-06 |
| Find all providers in zip 57013 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154365 | Detroit Medical Center | General Acute Care Hospital | 4713 Pond Run, Canton, MI 48188-2196 | 2016-10-10 |
| 1740244540 | Sanford Health Network | General Acute Care Hospital | 440 N Hiawatha Dr, Canton, SD 57013-5800 | 2006-04-17 |
| 1790740090 | Sanford Health Network | General Acute Care Hospital | 440 N Hiawatha Dr, Canton, SD 57013-5800 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1538233549 | Winner Regional Healthcare Center | General Acute Care Hospital | 745 E 8th St, Winner, SD 57580-2677 | 2006-11-20 |
| 1013002286 | Eureka Community & Benevolent Hospital | General Acute Care Hospital | 200 J Ave, Eureka, SD 57437 | 2006-10-04 |
| 1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1295747608 | Avera Mckennan | General Acute Care Hospital | 214 N Prairie St, Flandreau, SD 57028-1243 | 2006-08-13 |
| 1790791366 | Fall River Health Services | General Acute Care Hospital | 1201 Highway 71 South, Hot Springs, SD 57747-1374 | 2006-08-01 |
| 1275562027 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-1302 | 2006-07-02 |
| 1154350064 | Avera Mckennan | General Acute Care Hospital | 909 North Iowa Ave, Dell Rapids, SD 57022-1231 | 2006-07-02 |
| 1669418877 | Bowdle Hospital | General Acute Care Hospital | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-06-22 |
| 1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
| Find all providers with the same taxonomy | ||||
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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.