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Sanford Health Network

Organization Active NPI Durable Medical Equipment & Medical Supplies · Sheldon, IA

NPI 1497909014 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1497909014
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
710093H (IA)
Legal business name
SANFORD HEALTH NETWORK
Practice address
118 N 7TH Ave
Sheldon, IA 51201-1235
Phone
(712) 324-5041
NPI assigned
Nov 10, 2008
Organization subpart
Yes
Parent organization (as reported)
SANFORD HEALTH NETWORK

Authorized official

Name
Bruce D Viessman
Title
VP Finance
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)
Part of
Sioux Valley Vermillion

Specialties & licenses

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

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

  • Sanford SheldonMedical Center Doing business as

Electronic endpoints

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 27, 2023.

{
    "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

All providers in Sheldon, IA · Durable Medical Equipment & Medical Supplies in Iowa

Sources for this page

Verify at the official NPI Registry.