NPIMap

Organization Active NPI

Sanford Health Network

Doing business as Sanford Hospital Webster

  • Durable Medical Equipment & Medical Supplies
  • Webster, SD
National Provider Identifier
1366528424
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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
Oct 31, 2006
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SANFORD HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2008

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 10573 SD Primary
Prosthetic/Orthotic Supplier 335E00000X 10573 SD

Addresses

Primary practice location

1401 W 1St St
Webster, SD 57274-1054

Mailing address

PO Box 489
1401 West 1St Street
Webster, SD 57274-0489
Phone (605) 345-3336

Other identifiers 1

IdentifierTypeStateIssuer
9165052MedicaidSD

Other names 1

  • Sanford Hospital Webster Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Olson Medical Clinic49 organizations share this tax ID, including this one
Part of
Olson Medical Clinic

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1366528424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "address_2": "1401 WEST 1ST STREET",
            "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": "YES",
        "parent_organization_legal_business_name": "SANFORD HEALTH NETWORK",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-05-28",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SD",
            "license": "10573",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SD",
            "license": "10573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9165052",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "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 May 28, 2008; 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.