Provider Demographics
NPI:1497703045
Name:SANFORD HEALTH NETWORK
Entity Type:Organization
Organization Name:SANFORD HEALTH NETWORK
Other - Org Name:SANFORD LUVERNE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT, REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-328-8380
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:605-328-6585
Mailing Address - Fax:605-328-6512
Practice Address - Street 1:1600 N KNISS AVE
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:MN
Practice Address - Zip Code:56156
Practice Address - Country:US
Practice Address - Phone:507-283-2321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN331674282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
78774OtherHEALTH PARTNERS
MN121122950Medicaid
SD5520772Medicaid
56156OtherTRICARE WEST
IA0539619Medicaid
5G50HLUOtherMNBCBS HOSPITAL
01010035OtherPREFERREDONE/CIGNA
MN300551Medicaid
55651OtherSIOUX VALLEY HEALTH PLAN
SD0120772Medicaid
ND11467Medicaid
204132400OtherUS DEPT OF LABOR
MN71614500Medicaid
SD9001650Medicaid
21321OtherAMERICAS PPO
MN242547500Medicaid
430068OtherDAKOTACARE
MN470665000Medicaid
430068OtherDAKOTACARE
MNC03009Medicare UPIN