NPIMap

Organization Active NPI

Sanford Health Network

Doing business as Sanford Hospital Tracy

  • Critical Access Hospital
  • Tracy, MN
National Provider Identifier
1003851171
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
331043 Issued in MN
Legal business name
SANFORD HEALTH NETWORK
Doing business as
Sanford Hospital Tracy
Sanford Tracy Medical Center
Practice address
251 5TH St E
Tracy, MN 56175-1536
Phone
(507) 629-8300
Fax
(507) 629-8421
NPI assigned
Jun 20, 2006
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tony Lee Morrison
Title
Vice President, Revenue Cycle
Phone
(605) 328-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 331043 MN Primary

Addresses

Primary practice location

251 5TH St E
Tracy, MN 56175-1536

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6548

Other identifiers 8

IdentifierTypeStateIssuer
300705MedicaidMN
5025340OtherMEDICA
1880HTROtherMNBLUE CROSS
0130440MedicaidSD
29488OtherSIOUX VALLEY HEALTH PLAN
H323OtherMIDLANDS CHOICE
0956334MedicaidIA
409545600MedicaidMN

Other names 2

  • Sanford Hospital Tracy Doing business as
  • Sanford Tracy Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000725 MN Part A Provider - Critical Access Hospital 6800707100 Receives reassigned benefits from 27 practitioners
Practice locations: Tracy, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003851171. Details of each certification follow.

Hospital certification: CCN 241303

Legal name
SANFORD HEALTH NETWORK
Doing business as
SANFORD TRACY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 11, 2000
Last certification
Nov 30, 2016
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 15, 1985 in SD
Enrollment address
251 5TH St E
Tracy, MN 56175-1536
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Care Compare: Hospital

Medicare Care Compare
Listed as
Sanford Tracy Medical CenterCCN 241303 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Victoria C Smith MD49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Locations

251 5th St E
Tracy, MN 56175
Phone (507) 212-4125

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Allen Lundeen Individual Corporate Director Dec 4, 2014
Marnie Lynn Ventling-Herrmann Individual Corporate OfficerTrustee/ Vice Chairperson Jan 1, 2024
Corporate DirectorTrustee/ Vice Chairperson Jan 1, 2022
Tony Lee Morrison Individual Corporate OfficerVP, Chief Rev Cycle Officer Jan 19, 2020
W-2 Managing EmployeeVP, Chief Rev Cycle Officer Jan 19, 2020
Michael Charles Wilde Individual W-2 Managing EmployeeChief Physician, Sioux Falls May 5, 2024
Brent Gerard Teiken Individual Corporate DirectorTrustee Jul 3, 2012
Jolyn Joy Munson Individual W-2 Managing EmployeeVP, Revenue Cycle Operations Apr 17, 2025
Dana James Dykhouse Individual Corporate Director Jan 1, 2024
Andrew Stewart North Individual Corporate OfficerTrustee/Secretary Jan 1, 2020
Corporate DirectorTrustee/Secretary Jan 1, 2017
Eric Lucas Vanden Hull Individual W-2 Managing EmployeeChief Financial Officer Sep 25, 2022
Jon Allen Pociask Individual Corporate OfficerPresident, Coo Aug 1, 2025
W-2 Managing EmployeePresident, Coo Aug 1, 2025
Stephanie Marie Herseth Sandlin Individual Corporate Director Jan 1, 2024
William Joseph Gassen Individual Corporate OfficerCeo Nov 24, 2020
Corporate DirectorCeo Nov 24, 2020
George Joseph Brown Individual Corporate OfficerTrustee/Treasurer Jan 1, 2025
Corporate DirectorTrustee/Treasurer Jan 1, 2025
Wesley Owen Engbrecht Individual Corporate DirectorDirector Jan 1, 2021
Maureen Patricia McCausland Individual Corporate DirectorTrustee Jan 1, 2025
Sanford Organization, Fargo, ND 5% Or Greater Indirect Ownership Interest Nov 2, 2009 100%
Thomas Richard Wenzel Individual Corporate DirectorTrustee Jan 1, 2025
David Jonathan Shulkin Individual Corporate Director Jan 1, 2024
Sanford Health Organization, Sioux Falls, SD Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 10, 2007
Neil Leslie Gulsvig Individual Corporate Director Mar 28, 2019
Kevin Victor Schieffer Individual Corporate DirectorTrustee Jan 1, 2025
Lauris Nelson Molbert Individual Corporate DirectorDirector Jan 1, 2021
Nicholas Wayne Olson Individual W-2 Managing EmployeeChief Financial Officer Apr 8, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Prairie Lakes Health Care System IncWatertown, SD, CCN 430005A Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 31, 2025
Windom Area HealthWindom, MN, CCN 241332 Hospital Operational/Managerial Control Jun 1, 1989
Windom Area HealthWindom, MN, CCN 24Z332 Hospital Operational/Managerial Control Jun 1, 1989
Sanford Webster Medical CenterBristol, SD, CCN 435093 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2000
Apr 7, 2025
Prairie Lakes Home HealthWatertown, SD, CCN 437019 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 31, 2025
Prairie Lakes HospiceWatertown, SD, CCN 431504 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 31, 2025

Facilities with the same owner 50

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 50

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

Affiliated clinicians 32

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1003851171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6548",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 5TH ST E",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751536",
            "telephone_number": "507-629-8300",
            "fax_number": "507-629-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "605-328-8380"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "331043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300705",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5025340",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1880HTR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130440",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "29488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "H323",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0956334",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409545600",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanford Hospital Tracy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Hospital Tracy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Tracy Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, MN

Sources for this page

Verify at the official NPI Registry.