Provider Demographics
NPI:1477824183
Name:SANFORD HEALTH NETWORK
Entity Type:Organization
Organization Name:SANFORD HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NUTRITION & FOOD SERVIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KOPECKY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LN
Authorized Official - Phone:605-226-5518
Mailing Address - Street 1:PO BOX 1770
Mailing Address - Street 2:2905 3RD AVE SE
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57402-1770
Mailing Address - Country:US
Mailing Address - Phone:605-626-4200
Mailing Address - Fax:605-226-5501
Practice Address - Street 1:2905 3RD AVE SE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-5420
Practice Address - Country:US
Practice Address - Phone:605-626-4200
Practice Address - Fax:605-226-5501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANFORD HEALTH NETWORK DBA SANFORD ABERDEEN MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0075282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital