Sanford Medical Center
Organization Active NPI Air Ambulance · Sioux Falls, SD
NPI 1023299708 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1023299708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- SANFORD MEDICAL CENTER
- Practice address
- 1305 W 18TH St
Sioux Falls, SD 57105-0401 - Phone
- (605) 333-1000
- NPI assigned
- Nov 21, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- SANFORD MEDICAL CENTER
Authorized official
- Name
- Tony Lee Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8380
Owners & managing parties with NPI records 1
-
Michael C Wilde, M.D.
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 47
Related certifications (CCN) 2
Affiliated clinicians 1,150
-
Brian C Aamlid, M.D.
-
Adeem Abdulwahab, M.D
-
Emad M a Abu Sitta, M.D
-
Kayla Adamek, NP
-
Logan Michael Adamek, ACNPC-AG
-
Wais Afzal, M.D.
-
Comfort Agaba, MD
-
Emily Ahlers, CNP
-
Sameer Ahmed, MD
-
Swetha Alapati, MD
-
Mustafa Ali, MD
-
Baker A. Alkhairi, M.B.B.CH.
-
Brandon L Allard, M.D.
-
Emily Ann Allen, PA
-
Jay R Allison, MD
-
Hina Amin, MD
Medicare Care Compare: Hospital
- Listed as
- Sanford Usd Medical Center
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Hospital certification: CCN 430027
- Legal name
- SANFORD MEDICAL CENTER
- Doing business as
- SANFORD USD MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Nov 1, 2017
- Beds
- 545
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 10, 1894 in SD
- Enrollment address
- 1305 W 18TH St
Sioux Falls, SD 57105-0401 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Allen Lundeen |
Corporate Director |
Dec 4, 2014 | |
| Andrew Munce |
W-2 Managing Employee |
Mar 1, 2020 | |
| Marnie Lynn Ventling-Herrmann |
Corporate Director |
Jan 1, 2022 | |
| Tony Lee Morrison |
W-2 Managing Employee |
Jan 19, 2020 | |
| James Edward Cain |
Corporate Officer |
Nov 19, 2015 | |
| Corporate Director |
Nov 19, 2015 | ||
| Michael Charles Wilde |
W-2 Managing Employee |
May 5, 2024 | |
| Brent Gerard Teiken |
Corporate Director |
Jul 3, 2012 | |
| Dana James Dykhouse |
Corporate Director |
Jan 1, 2024 | |
| Andrew Stewart North |
Corporate Officer |
Dec 1, 2015 | |
| Corporate Director |
Dec 1, 2015 | ||
| Eric Lucas Vanden Hull |
W-2 Managing Employee |
Sep 25, 2020 | |
| Stephanie Marie Herseth Sandlin |
Corporate Director |
Jan 1, 2024 | |
| William Joseph Gassen |
Corporate Officer |
Nov 23, 2020 | |
| Corporate Director |
Nov 23, 2020 | ||
| Paul Aaron Hanson |
Corporate Director |
Jul 1, 2013 | |
| W-2 Managing Employee |
Jul 1, 2013 | ||
| George Joseph Brown |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2025 | ||
| Wesley Owen Engbrecht |
Corporate Director |
Jan 1, 2021 | |
| Maureen Patricia McCausland |
Corporate Director |
Jan 1, 2025 | |
| Sanford |
5% Or Greater Indirect Ownership Interest | Nov 2, 2009 | 100% |
| Thomas Richard Wenzel |
Corporate Director |
Jan 1, 2025 | |
| David Jonathan Shulkin |
Corporate Director |
Jan 1, 2024 | |
| Sanford Health |
5% Or Greater Direct Ownership Interest | Jan 19, 2007 | 100% |
| Neil Leslie Gulsvig |
Corporate Director |
Mar 28, 2019 | |
| Kevin Victor Schieffer |
Corporate Director |
Jan 1, 2025 | |
| Lauris Nelson Molbert |
Corporate Director |
Jan 1, 2021 | |
| Nicholas Wayne Olson |
W-2 Managing Employee |
Apr 8, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040212000566 | SD | Part a Provider - Hospital | 8325950215 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Sanford Medical Center Pharmacy
- Part of
- Sanford Medical Center Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Yes |
Addresses
Primary practice location
1305 W 18TH St
Sioux Falls, SD 57105-0401
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9020290 | Medicaid | SD |
Other names
- Sanford USD Medical Center
- Sanford USD Medical Center AirMed
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Sioux Falls, SD
- Sanford Healthcare Accessories, LLC
- Sanford Healthcare Accessories, LLC
- Sanford Healthcare Accessories, LLC
- Sanford Home Health
- Sanford Home Health
- Sanford Medical Center
- Sanford Medical Center
- Sanford Medical Center
- Sanford Medical Center
- Sanford Medical Center
All providers in Sioux Falls, SD · Air Ambulance in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.