Sanford Health Network
Organization Active NPI Family Medicine Physician · Sheldon, IA
NPI 1831281047 · NPPES record last updated Mar 14, 2025
Key facts
- NPI
- 1831281047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SANFORD HEALTH NETWORK
- Practice address
- 800 Oak St
Sheldon, IA 51201-1242 - Phone
- (712) 324-5356
- Fax
- (712) 324-6515
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Tony Lee Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8380
Other NPIs on the same Medicare enrollment 11
Related certifications (CCN) 1
Facilities with the same owner 50
Practitioners 34
-
Rodrigo Ernesto Banda, PA-C
-
Keith E Begeman, CRNA
-
Beth Ann Goetschius, PMHNP
-
Brett William Hutton, ARNP
-
Molly Lorenzen, NP
-
Mia I Turgeon, APRN
-
Clint Benge, M.D.
-
Anand Dayama, M.D.
-
Katarina Kay Dirkson, FNP-C
-
John Hallgren, M.D.
-
Jared Laverne Harwood, M.D.
-
Chase G Hurtig, CRNA
-
Cynthia Margaret Kantos, LICSW
-
Holly Marie Klink, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
Rural health clinic certification: CCN 168506
- Legal name
- SANFORD HEALTH NETWORK
- Doing business as
- SANFORD CLINIC SHELDON
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- May 1, 2005
- Last certification
- Feb 18, 2026
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 15, 1985 in SD
- Enrollment address
- 800 Oak St
Sheldon, IA 51201-1242 - Related CCNs
- 161381
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Allen Lundeen |
Corporate Director | Dec 4, 2014 | |
| Marnie Lynn Ventling-Herrmann |
Corporate Director |
Jan 1, 2022 | |
| Tony Lee Morrison |
Corporate Officer |
Feb 1, 1991 | |
| 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 | |
| Brent Gerard Teiken |
Corporate Director | Dec 4, 2014 | |
| Jolyn Joy Munson |
W-2 Managing Employee |
Feb 25, 2013 | |
| William D Marlette |
Corporate Officer |
Jun 16, 2023 | |
| W-2 Managing Employee |
Jun 16, 2023 | ||
| Andrew Stewart North |
Corporate Director | Jan 1, 2017 | |
| 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 | |
| Sanford Health |
5% Or Greater Direct Ownership Interest | Nov 9, 2012 | 100% |
| Neil Leslie Gulsvig |
Corporate Director | Mar 28, 2019 | |
| Lauris Nelson Molbert |
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 |
|---|---|---|---|---|
| O20040324000654 | IA | Part B Supplier - Clinic/Group Practice | 6800707100 |
Receives reassigned benefits from 72 practitioners 13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sanborn, IA; Sheldon, IA; Sibley, IA; Primghar, IA; Rock Rapids, IA; Boyden, IA; Hartley, IA; Lake Park, IA… |
| O20050527000717 | IA | Part a Provider - Rural Health Clinic | 6800707100 |
1 other NPI on this enrollment Practice locations: Sheldon, IA |
National Provider Directory
Locations
1609 N Ankeny Blvd
Ste 200
Ankeny, IA 50023
Phone (515) 964-2772
206 N 7th Ave
Sheldon, IA 51201
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
830 8th St
Walnut Grove, MN 56180
Phone (507) 859-2157
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
800 Oak St
Sheldon, IA 51201-1242
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other practice location 1
1100 S 10th Ave
Rock Rapids, IA 51246-2020
Phone (712) 472-5400
Other practice location 2
255 N Welch Ave
Primghar, IA 51245-7765
Phone (712) 957-2300
Other practice location 3
110 Cedar Ln
Sibley, IA 51249-1055
Phone (712) 324-5356
Other practice location 4
118 N 7th Ave
Sheldon, IA 51201-1235
Phone (712) 324-5041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0638593 | Medicaid | IA | |
| 0254656 | Medicaid | IA |
Other names
- Sanford Clinic Sheldon
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Sheldon, IA
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Health Network
- Sanford Healthcare Accessories, LLC
- Grace Katherine Schwaller
All providers in Sheldon, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2025. 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.