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Sanford Health Network

Organization Active NPI Critical Access Hospital · Vermillion, SD

NPI 1790721280 · NPPES record last updated Jan 24, 2025

Key facts

NPI
1790721280
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
53082 (SD)
Legal business name
SANFORD HEALTH NETWORK
Practice address
20 S Plum St
Vermillion, SD 57069-3346
Phone
(605) 624-2611
NPI assigned
Jun 22, 2006
Organization subpart
No

Authorized official

Name
Tony Lee Morrison
Title
Vice President, Revenue Cycle
Phone
(605) 328-8380

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 50

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 50

Practitioners 494

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 494

Affiliated clinicians 135

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 135

Medicare Care Compare: Hospital

Listed as
Sanford Vermillion Medical Center CCN 431336
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in SD

Hospital certification: CCN 431336

Legal name
SANFORD HEALTH NETWORK
Doing business as
SANFORD VERMILLION MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2004
Last certification
Jun 22, 2023
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Aug 15, 1985 in SD
Enrollment address
20 S Plum St
Vermillion, SD 57069-3346

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Allen Lundeen
Individual 		Corporate Director
Trustee		 Dec 4, 2014
Marnie Lynn Ventling-Herrmann
Individual 		Corporate Director
Trustee		 Jan 1, 2022
Tony Lee Morrison
Individual 		Corporate Officer
VP, Chief Revenue Cycle Officer		 Jan 19, 2020
W-2 Managing Employee
VP, Chief Revenue Cycle Officer		 Jan 19, 2020
Michael Charles Wilde
Individual 		W-2 Managing Employee
Chief Physician, Sioux Falls		 May 5, 2024
Brent Gerard Teiken
Individual 		Corporate Director
Trustee		 Jan 11, 2013
Jolyn Joy Munson
Individual 		W-2 Managing Employee
VP, Revenue Cycle Operations		 Apr 17, 2025
Dana James Dykhouse
Individual 		Corporate Director
Trustee		 Jan 1, 2024
Andrew Stewart North
Individual 		Corporate Officer
Secretary		 Dec 1, 2015
Corporate Director
Trustee		 Dec 1, 2015
Eric Lucas Vanden Hull
Individual 		W-2 Managing Employee
Cfo, Sioux Falls		 Sep 25, 2022
Jon Allen Pociask
Individual 		Corporate Officer
President, Coo, Health Network		 Aug 1, 2025
W-2 Managing Employee
President, Coo, Health Network		 Aug 1, 2025
Stephanie Marie Herseth Sandlin
Individual 		Corporate Director
Trustee		 Jan 1, 2024
William Joseph Gassen
Individual 		Corporate Officer
President and Ceo		 Nov 24, 2020
Corporate Director
President and Ceo		 Nov 24, 2020
George Joseph Brown
Individual 		Corporate Officer
Treasurer		 Jan 1, 2025
Corporate Director
Trustee		 Jan 1, 2025
Wesley Owen Engbrecht
Individual 		Corporate Director
Trustee		 Jan 1, 2021
Maureen Patricia McCausland
Individual 		Corporate Director
Trustee		 Jan 1, 2025
Sanford
Organization · Fargo, ND
Non-profit 		5% Or Greater Indirect Ownership Interest Jul 20, 2010 100%
Thomas Richard Wenzel
Individual 		Corporate Director
Trustee		 Jan 1, 2025
David Jonathan Shulkin
Individual 		Corporate Director
Trustee		 Jan 1, 2024
Sanford Health
Organization · Sioux Falls, SD
Non-profit 		5% Or Greater Direct Ownership Interest Aug 10, 2007 100%
Neil Leslie Gulsvig
Individual 		Corporate Director
Trustee		 Mar 28, 2019
Kevin Victor Schieffer
Individual 		Corporate Director
Trustee		 Jan 1, 2025
Lauris Nelson Molbert
Individual 		Corporate Director
Trustee		 Jan 1, 2021
Nicholas Wayne Olson
Individual 		Corporate Officer
Evp,Cfo		 Apr 8, 2024
W-2 Managing Employee Apr 8, 2024

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Prairie Lakes Health Care System Inc
Watertown, SD · CCN 430005A		 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 31, 2025
Windom Area Health
Windom, MN · CCN 241332		 Hospital Operational/Managerial Control Jun 1, 1989
Windom Area Health
Windom, MN · CCN 24Z332		 Hospital Operational/Managerial Control Jun 1, 1989
Sanford Webster Medical Center
Bristol, SD · CCN 435093		 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2000
Apr 7, 2025
Prairie Lakes Home Health
Watertown, SD · CCN 437019		 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 31, 2025
Prairie Lakes Hospice
Watertown, SD · CCN 431504		 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 31, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031111000266 SD Part B Supplier - Clinic/Group Practice 6800707100 Receives reassigned benefits from 489 practitioners
21 other NPIs on this enrollment
Practice locations: Ipswich, SD; Webster, SD; Vermillion, SD; Sioux Falls, SD; Kimball, SD; Clear Lake, SD; Chamberlain, SD; Canton, SD…
O20040902001011 SD Part a Provider - Critical Access Hospital 6800707100 Receives reassigned benefits from 51 practitioners
1 other NPI on this enrollment
Practice locations: Vermillion, SD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 53082 SD Yes

Addresses

Primary practice location

20 S Plum St
Vermillion, SD 57069-3346

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

125 S Walker St
Vermillion, SD 57069-3325
Phone (605) 677-3500

Other identifiers

IdentifierTypeStateIssuer
26871OtherSIOUX VALLEY HEALTH PLAN
301692MedicaidMN
580255500MedicaidMN
80029OtherSDBLUE CROSS
H226OtherMIDLANDS CHOICE
0100900MedicaidSD
0523878MedicaidIA
5000153OtherMEDICA

Other names

  • Sanford Care Center Vermillion Doing business as
  • Sanford Vermillion Medical 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 Jan 24, 2025.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1790721280",
    "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": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S PLUM ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693346",
            "telephone_number": "605-624-2611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Walker St",
            "address_purpose": "LOCATION",
            "city": "Vermillion",
            "state": "SD",
            "postal_code": "570693325",
            "country_code": "US",
            "telephone_number": "605-677-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANFORD HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "605-328-8380"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "SD",
            "license": "53082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "26871",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301692",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580255500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "80029",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "H226",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100900",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0523878",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5000153",
            "state": null
        }
    ],
    "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 Care Center Vermillion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Vermillion Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Vermillion Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vermillion, SD

All providers in Vermillion, SD · Critical Access Hospital in South Dakota

Sources for this page

Verify at the official NPI Registry.