SANFORD HEALTH NETWORK (NPI# 1962699868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962699868 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH NETWORK |
| Other Organization Name | SANFORD CLINIC BALATON |
| Practice Address |
551 Us Highway 14 Balaton MN 56115-3231 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 5077343456 |
| Practice Fax Number | 5072124199 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2020-07-10 |
| 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 | 163313900 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Clinic Balaton | 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 |
| 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 |
| 1770524555 | Sanford Health Network | Skilled Nursing Facility | 603 Louisiana Avenue, Adrian, MN 56110 | 2006-06-10 |
| 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 |
551 US HIGHWAY 14 |
| City | BALATON |
| State | MN |
| Zip Code | 56115-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114950524 | Lsi Services, LLC | Skilled Nursing Facility | 551 Us Hwy 14, Balaton, MN 56115 | 2006-07-09 |
| 1750457396 | Richard Wallace Brown | Dentist | 123 3rd St, Balaton, MN 56115 | 2006-11-27 |
| 1164588042 | Balaton Public School | Local Education Agency (LEA) | 330 3rd St, Balaton, MN 56115-1098 | 2006-12-28 |
| 1255782819 | Amy Perlenfein | Contractor | 2260 70th Ave, Balaton, MN 56115-1104 | 2016-06-24 |
| 1982243903 | Jenna Elizabeth Erickson | Registered Nurse | 425 241st St, Balaton, MN 56115-1107 | 2019-12-23 |
| 1881707032 | City of Balaton | Ambulance | 134 3rd St, Balaton, MN 56115-1200 | 2006-08-15 |
| 1982031878 | Balaton Dental Clinic,inc | Dentist | 123 3rd St, Balaton, MN 56115-9451 | 2013-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982243903 | Jenna Elizabeth Erickson | Registered Nurse | 425 241st St, Balaton, MN 56115-1107 | 2019-12-23 |
| 1255782819 | Amy Perlenfein | Contractor | 2260 70th Ave, Balaton, MN 56115-1104 | 2016-06-24 |
| 1164588042 | Balaton Public School | Local Education Agency (LEA) | 330 3rd St, Balaton, MN 56115-1098 | 2006-12-28 |
| 1881707032 | City of Balaton | Ambulance | 134 3rd St, Balaton, MN 56115-1200 | 2006-08-15 |
| 1114950524 | Lsi Services, LLC | Skilled Nursing Facility | 551 Us Hwy 14, Balaton, MN 56115 | 2006-07-09 |
| 1982031878 | Balaton Dental Clinic,inc | Dentist | 123 3rd St, Balaton, MN 56115-9451 | 2013-10-09 |
| 1750457396 | Richard Wallace Brown | Dentist | 123 3rd St, Balaton, MN 56115 | 2006-11-27 |
| 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 |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
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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.