SANFORD HEALTH NETWORK (NPI# 1811901531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811901531 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH NETWORK |
| Other Organization Name | SANFORD HOSPITAL JACKSON |
| Practice Address |
1430 North Hwy Jackson MN 56143-1093 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 5078472420 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-07-07 |
| 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 |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
331670 | MN | Hospitals |
| Other Name | Type Code |
|---|---|
| Sanford Hospital Jackson | 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 |
1430 NORTH HWY |
| City | JACKSON |
| State | MN |
| Zip Code | 56143-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922088855 | Ronald F Kline | Emergency Medicine | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-01-18 |
| 1275148009 | Brittany Ann Dahl | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2020-09-09 |
| 1831603166 | Michelle Lee Evans | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2017-11-22 |
| 1336687425 | Johanna Kallemeyn | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2017-02-08 |
| 1700335551 | Polina B Rivera | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2016-09-21 |
| 1700210226 | Jessica Grant | Social Worker | 1430 North Hwy, Jackson, MN 56143-1093 | 2013-09-03 |
| 1669783106 | Habiba Alero Ikoghode | Family Medicine | 1430 North Hwy, Jackson, MN 56143-1093 | 2010-06-30 |
| 1871823179 | Denise Heupel | Nurse Anesthetist, Certified Registered | 1430 North Hwy, Jackson, MN 56143-1093 | 2010-01-08 |
| 1487840005 | Erika Freking | Nurse Practitioner | 1430 North Hwy, Jackson, MN 56143-1093 | 2007-09-18 |
| 1487717039 | Sioux Valley Regional Health Services | Clinic/Center | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576965 | Jackson County Central Schools | Local Education Agency (LEA) | Jackson County Central Schools, 1128 North Highway, Jackson, MN 56143 | 2006-12-22 |
| 1609952027 | Susan Marie Back | Psychologist | 116 County Road 34 W, Jackson, MN 56143 | 2006-10-27 |
| 1992805204 | Kevin John Dunlavey | Dentist | 607 2nd St, Jackson, MN 56143 | 2006-09-25 |
| 1285978221 | Paul Anthony Roggow | Dentist | 604 Second Street, Jackson, MN 56143 | 2012-11-15 |
| 1083896716 | Shopko Stores Operating Co LLC | Pharmacy | 506 2nd St, Jackson, MN 56143 | 2007-12-05 |
| 1053456889 | Jackson Drug Co | Durable Medical Equipment & Medical Supplies | 506 2nd St, Jackson, MN 56143-0233 | 2007-02-20 |
| 1811915648 | Jackson Volunteer Ambulance | Ambulance | 305 Sheridan Str, Jackson, MN 56143-0242 | 2006-07-18 |
| 1750378758 | Sister Marie Paul Lockerd | Family Medicine | 803 4th St, Jackson, MN 56143-1056 | 2005-10-04 |
| 1407065824 | Desmoines Valley Bhs | Clinical Nurse Specialist | 803 4th St, Jackson, MN 56143-1056 | 2007-05-22 |
| 1942426689 | Margaret Jean Hart | Family Medicine | 803 4th St, Jackson, MN 56143-1056 | 2007-04-18 |
| Find all providers in zip 56143 | ||||
| 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 |
|---|---|---|---|---|
| 1295987303 | Umc Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2008-10-21 |
| 1487858452 | University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2007-06-13 |
| 1154541415 | University Preventive Medicine | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2007-04-27 |
| 1326069097 | Sanford Health Network | General Acute Care Hospital | 1430 North Hwy, Jackson, MN 56143-1093 | 2006-07-21 |
| 1386664779 | Wellstar Sylvan Grove Hospital, Inc | General Acute Care Hospital | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2006-07-20 |
| 1619997079 | Wellstar Sylvan Grove Hospital, Inc | General Acute Care Hospital | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2006-07-20 |
| 1750306437 | Jackson Madison County General Hospital | General Acute Care Hospital | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| 1992720676 | Jackson Madison County General Hospital | General Acute Care Hospital | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
| 1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
| 1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
| 1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
| 1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
| 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.