Provider Demographics
NPI:1144571365
Name:SANFORD HEALTH
Entity Type:Organization
Organization Name:SANFORD HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAMM
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:605-328-1859
Mailing Address - Street 1:3705 S BENJAMIN DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-7131
Mailing Address - Country:US
Mailing Address - Phone:605-553-3511
Mailing Address - Fax:605-328-1640
Practice Address - Street 1:3401 W 49TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-2322
Practice Address - Country:US
Practice Address - Phone:605-328-1626
Practice Address - Fax:605-328-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0439282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital