SANFORD HEALTH NETWORK (NPI# 1770505760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770505760 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH NETWORK |
| Other Organization Name | SANFORD CLINIC WEBSTER |
| Practice Address |
101 Peabody Dr Webster SD 57274-1061 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053454141 |
| Practice Fax Number | 6053454135 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 833833700 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Clinic Webster | Doing Business As Name - Organization |
| 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 |
101 PEABODY DR |
| City | WEBSTER |
| State | SD |
| Zip Code | 57274-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113519 | Lola M Pollard | Physician Assistant | 101 Peabody Dr, Webster, SD 57274 | 2005-06-13 |
| 1821698598 | Ruth A Hernandez | Family Medicine | 101 Peabody Dr, Webster, SD 57274-1061 | 2020-10-30 |
| 1356750046 | Paula Bearman | Nurse Practitioner | 101 Peabody Dr, Webster, SD 57274-1061 | 2014-08-06 |
| 1649471962 | Hruby Dental PC | Dentist | 101 Peabody Dr, Suite #3, Webster, SD 57274-1061 | 2007-05-31 |
| 1346331097 | Bradley Lynn Hruby | Dentist | 101 Peabody Dr, Suite #3, Webster, SD 57274-1061 | 2006-09-27 |
| 1841205333 | Cheryl Hairgrove | Physician Assistant | 101 Peabody Dr, Webster, SD 57274-1061 | 2006-07-31 |
| 1669479168 | Gaither D Bynum | Emergency Medicine | 101 Peabody Dr, Webster, SD 57274-1061 | 2005-06-30 |
| 1659375137 | Elizabeth J Gravley | Family Medicine | 101 Peabody Dr, Webster, SD 57274-1061 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790971042 | Webster School District | Local Education Agency (LEA) | 102 E 9th Ave, Webster, SD 57274 | 2007-09-20 |
| 1619087236 | Rob D Krege | Chiropractor | 610 Main St, Webster, SD 57274 | 2006-08-30 |
| 1760738892 | Jennifer Grace Nelson | Physical Therapist | 1290 North Main St, Suite 3, Webster, SD 57274-0577 | 2012-07-26 |
| 1356348809 | Bethesda Home | Skilled Nursing Facility | 129 W Highway 12, Webster, SD 57274-1000 | 2005-06-30 |
| 1144773672 | Randal James Breske | Occupational Therapy Assistant | 1401 W 1st St, Webster, SD 57274-1054 | 2016-08-02 |
| 1427486174 | Kyle Hubsch | Physical Therapist | 1401 W 1st St, Webster, SD 57274-1054 | 2013-10-16 |
| 1013246388 | Janet A Holm | Speech-Language Pathologist | 1401 W 1st St, Webster, SD 57274-1054 | 2009-12-16 |
| 1588803167 | Melissa Jean Grewe | Occupational Therapist | 1401 W 1st St, Webster, SD 57274-1054 | 2009-02-05 |
| 1063651628 | David Leroy Wyman | Physical Therapist | 1401 W 1st St, Webster, SD 57274-1054 | 2009-02-05 |
| 1346433349 | Sanford Health Network | General Acute Care Hospital | 1401 W 1st St, Webster, SD 57274-1054 | 2007-08-22 |
| Find all providers in zip 57274 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185684 | Nature Health and Wellness Clinic LLC | Family Medicine | 711 W Bay Area Blvd Ste 525, Webster, TX 77598-4043 | 2020-02-05 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1669998415 | Clear Lake Wound Care Pllc | Family Medicine | 600 N Kobayashi Ste 212, Webster, TX 77598-4841 | 2017-08-14 |
| 1477934461 | Israt Jahan Gazi | Family Medicine | 600 N Kobayashi # 213, Webster, TX 77598-4840 | 2015-06-15 |
| 1164800934 | Lindsay Balceniuk | Family Medicine | 55 Barrett Dr Ste 100, Webster, NY 14580 | 2015-05-13 |
| 1093102477 | Nedal Adi | Family Medicine | 600 N Kobayashi Ste 213, Webster, TX 77598-4841 | 2015-04-23 |
| 1932514080 | Lawrence Nelson | Family Medicine | 13806 436th Ave, Webster, SD 57274-5616 | 2014-06-27 |
| 1104238971 | Raysha Janine Crawford | Family Medicine | 1900 Empire Blvd Ste 100, Webster, NY 14580-1934 | 2014-05-28 |
| 1760800072 | Inspiris of Texas Physicians Group | Family Medicine | 1507 West Bay Area Blvd, Suite D, Webster, TX 77598 | 2014-04-03 |
| 1275812877 | Baybrook Medical Associates Pa | Family Medicine | 200 Medical Center Blvd Ste 102, Webster, TX 77598-4224 | 2011-08-12 |
| Find all providers in WEBSTER | ||||
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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.