Organization Active NPI

Sanford Health Network

Doing business as Sanford Hospital Webster

  • Critical Access Hospital
  • Webster, SD
National Provider Identifier
1346433349
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
10573 Issued in SD
Legal business name
SANFORD HEALTH NETWORK
Doing business as
Sanford Hospital Webster
Practice address
1401 W 1St St
Webster, SD 57274-1054
Phone
(605) 345-3336
Fax
(605) 345-2402
NPI assigned
Aug 22, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Bruce Viessman
Title
Cfo Sanford Health Network
Phone
(605) 328-5506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 10573 SD Primary

Addresses

Primary practice location

1401 W 1St St
Webster, SD 57274-1054

Mailing address

PO Box 489
Webster, SD 57274-0489
Phone (605) 345-3336

Other identifiers 1

IdentifierTypeStateIssuer
5590220MedicaidSD

Other names 1

  • Sanford Hospital Webster Doing business as

Electronic endpoints 1

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

National Provider Directory

National Provider Directory
Tax ID family
Olson Medical Clinic49 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

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1346433349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "572740489",
            "telephone_number": "605-345-3336",
            "fax_number": "605-345-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 1ST ST",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "572741054",
            "telephone_number": "605-345-3336",
            "fax_number": "605-345-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "VIESSMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CFO SANFORD HEALTH NETWORK",
        "authorized_official_telephone_number": "605-328-5506",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "SD",
            "license": "10573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5590220",
            "state": "SD"
        }
    ],
    "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 Webster",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Hospital Webster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.