Provider Demographics
NPI:1831103449
Name:SANFORD HEALTH NETWORK
Entity Type:Organization
Organization Name:SANFORD HEALTH NETWORK
Other - Org Name:SANFORD HOSPITAL WEBSTER
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:650-328-6512
Practice Address - Street 1:1401 W 1ST ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:SD
Practice Address - Zip Code:57274-1054
Practice Address - Country:US
Practice Address - Phone:605-345-3336
Practice Address - Fax:605-345-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD10573282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5000158OtherMEDICA
SD81311OtherBLUE CROSS HOSPITAL
SD5500502MedicaidOUTPATIENT HOSPITAL
MN64360OtherHEALTH PARTNERS
MN8022861OtherPREFERRED ONE
SD0100502MedicaidINPATIENT HOSPITAL
NEH320OtherMIDLAND CHOICE
SD2940001OtherSANFORD HEALTH PLAN
MN8022861OtherPREFERRED ONE
WI=========OtherTRICARE
SD81311OtherBLUE CROSS HOSPITAL