Sanford Health Network
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Canby, MN
NPI 1245305697 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1245305697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- SANFORD HEALTH NETWORK
- Practice address
- 112 Saint Olaf Ave S
Canby, MN 56220-1433 - Phone
- (507) 223-7277
- Fax
- (507) 223-7465
- NPI assigned
- Nov 21, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SANFORD HEALTH NETWORK
Authorized official
- Name
- Tony Lee Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8380
Corporate family (same tax ID) 48
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Prairie Lakes Health Care System Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 31, 2025 |
| Windom Area Health |
Hospital | Operational/Managerial Control | Jun 1, 1989 |
| Windom Area Health |
Hospital | Operational/Managerial Control | Jun 1, 1989 |
| Sanford Webster Medical Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2000 Apr 7, 2025 |
| Prairie Lakes Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Oct 31, 2025 |
| Prairie Lakes Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Oct 31, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070716000752 | MN | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 6800707100 | Practice locations: Canby, MN |
National Provider Directory
- Tax ID family
- Sioux Valley Vermillion
- Part of
- Sioux Valley Vermillion
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
112 Saint Olaf Ave S
Canby, MN 56220-1433
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other names
- Sanford Canby Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Canby, MN
- William Rosen
- Lynn Ann Rost
- David Michael Sahlstrom
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
All providers in Canby, MN · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.