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Sanford Health Network

Organization Active NPI Family Medicine Physician · Yankton, SD

NPI 1255645693 · NPPES record last updated Jul 27, 2010

Key facts

NPI
1255645693
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
SANFORD HEALTH NETWORK
Practice address
317 Broadway Ave
Ste 8
Yankton, SD 57078-4258
Phone
(605) 665-8838
Fax
(605) 665-1123
NPI assigned
Jul 27, 2010
Organization subpart
No

Authorized official

Name
Bruce Viessman
Title
Vice President
Phone
(605) 328-5506

Corporate family (same tax ID) 48

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

View all 48

National Provider Directory

Tax ID family
Sioux Valley Vermillion (49 organizations share this tax ID)

Locations

317 Broadway Ave
Ste 8
Yankton, SD 57078
Phone (605) 665-8838

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X

Addresses

Primary practice location

317 Broadway Ave
Ste 8
Yankton, SD 57078-4258

Mailing address

317 Broadway Ave
Ste 8
Yankton, SD 57078-4258

Other names

  • Yankton Family Planning Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 27, 2010.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1255645693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BROADWAY AVE",
            "address_2": "STE 8",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BROADWAY AVE",
            "address_2": "STE 8",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784258",
            "telephone_number": "605-665-8838",
            "fax_number": "605-665-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "VIESSMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "605-328-5506"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yankton Family Planning",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yankton, SD

All providers in Yankton, SD · Family Medicine Physician in South Dakota

Sources for this page

Verify at the official NPI Registry.