Organization Active NPI

Sanford Health Network

Doing business as Sanford SheldonMedical Center

  • Durable Medical Equipment & Medical Supplies
  • Sheldon, IA
National Provider Identifier
1497909014
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
710093H Issued in IA
Legal business name
SANFORD HEALTH NETWORK
Doing business as
Sanford SheldonMedical Center
Practice address
118 N 7TH Ave
Sheldon, IA 51201-1235
Phone
(712) 324-5041
NPI assigned
Nov 10, 2008
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SANFORD HEALTH NETWORKAs reported in NPPES

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
Bruce D Viessman
Title
VP Finance
Phone
(605) 328-5506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 710093H IA Primary

Addresses

Primary practice location

118 N 7TH Ave
Sheldon, IA 51201-1235

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6548

Other names 1

  • Sanford SheldonMedical Center 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
Canby Community Health49 organizations share this tax ID, including this one
Part of
Canby Community Health

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": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1497909014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6548",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N 7TH AVE",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011235",
            "telephone_number": "712-324-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANFORD HEALTH NETWORK",
        "enumeration_date": "2008-11-10",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "VIESSMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "605-328-5506"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "710093H",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 SheldonMedical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford SheldonMedical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheldon, IA

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.