Sanford Health Network
Organization Active NPI Critical Access Hospital · Canton, SD
NPI 1790740090 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1790740090
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 51569 (SD)
- Legal business name
- SANFORD HEALTH NETWORK
- Practice address
- 440 N Hiawatha Dr
Canton, SD 57013-5800 - Phone
- (605) 987-2621
- Fax
- (605) 987-5631
- NPI assigned
- Apr 19, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SANFORD HEALTH NETWORK
Authorized official
- Name
- Tony Lee Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8380
Owners & managing parties with NPI records 1
-
Maria C Bell, M.D.
Corporate family (same tax ID) 48
Related certifications (CCN) 3
Facilities with the same owner 50
Affiliated clinicians 2
-
Karsten J Rohlfs, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Hospital certification: CCN 43Z333
- Legal name
- SANFORD HEALTH NETWORK
- Doing business as
- SANFORD CANTON INWOOD MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 15, 1985 in SD
- Enrollment address
- 440 N Hiawatha Dr
Canton, SD 57013-5800
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Allen Lundeen |
Corporate Director |
Dec 4, 2014 | |
| Maria Caroline Bell |
Corporate Director |
Dec 4, 2014 | |
| Marnie Lynn Ventling-Herrmann |
Corporate Director |
Jan 1, 2022 | |
| Tony Lee Morrison |
Corporate Officer |
Aug 1, 2019 | |
| W-2 Managing Employee |
Feb 1, 1991 | ||
| James Edward Cain |
Corporate Director |
Nov 19, 2015 | |
| Karin Louise Dulski |
W-2 Managing Employee |
Nov 19, 2012 | |
| Mark Roger Paulson |
Corporate Director |
Nov 2, 2009 | |
| Brent Gerard Teiken |
Corporate Director |
Dec 4, 2014 | |
| Jolyn Joy Munson |
W-2 Managing Employee |
Feb 25, 2013 | |
| Andrew Stewart North |
Corporate Director |
Dec 1, 2016 | |
| Stephanie Marie Swenson |
W-2 Managing Employee |
Nov 1, 2019 | |
| William Joseph Gassen |
Corporate Officer |
Nov 24, 2020 | |
| Corporate Director |
Nov 24, 2020 | ||
| W-2 Managing Employee |
Nov 24, 2020 | ||
| Wesley Owen Engbrecht |
Corporate Director |
Jan 1, 2021 | |
| Sanford |
5% Or Greater Indirect Ownership Interest | Nov 2, 2009 | 100% |
| Donald Darwin Jacobs |
Corporate Director |
Dec 4, 2014 | |
| Michelle Ann Bruhn |
Corporate Officer |
Dec 2, 2021 | |
| W-2 Managing Employee |
Dec 2, 2021 | ||
| Sanford Health |
5% Or Greater Direct Ownership Interest | Aug 10, 2007 | 100% |
| Neil Leslie Gulsvig |
Corporate Director |
Mar 28, 2019 | |
| Lauris Nelson Molbert |
Corporate Director |
Jan 1, 2021 | |
| Robin Lisa Smith |
Corporate Director |
Jan 1, 2021 |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Prairie Lakes Health Care System Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 31, 2025 |
| Windom Area Health |
Hospital | Operational/Managerial Control | Jun 1, 1989 |
| Windom Area Health |
Hospital | Operational/Managerial Control | Jun 1, 1989 |
| Sanford Webster Medical Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2000 Apr 7, 2025 |
| Prairie Lakes Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Oct 31, 2025 |
| Prairie Lakes Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Oct 31, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090413000043 | SD | Part a Provider - Critical Access Hospital | 6800707100 | Practice locations: Canton, SD |
National Provider Directory
- Tax ID family
- Sioux Valley Vermillion
- Part of
- Sioux Valley Vermillion
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 51569 | SD | Yes |
Addresses
Primary practice location
440 N Hiawatha Dr
Canton, SD 57013-5800
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other names
- Sanford Canton Inwood Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Canton, SD
- Eugene R Regier
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Bailey Schroeder
- Gordon Schulte
- Sydney Katherine Schultz
- Zachary Lee Selchert
- South Dakota Dental Associates PLLC
All providers in Canton, SD · Critical Access Hospital in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.