Sanford Health Network

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SANFORD HEALTH NETWORK

Doing business as

Sanford Clinic Sheldon

Practice address

800 Oak St
Sheldon, IA 51201-1242

Phone

(712) 324-5356

Fax

(712) 324-6515

NPI assigned

Oct 31, 2006

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SANFORD HEALTH NETWORKAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joel Mason Gustafson

Title

Administrator

Phone

(712) 324-5356

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sanford Clinic Sheldon Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982780144. Details of each certification follow.

• CCN 168506 Rural health clinic · Active · Details

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

CorporationNon-profit

Incorporated

Aug 15, 1985 in SD

Enrollment address

800 Oak St
Sheldon, IA 51201-1242

Related CCNs

161381

Related certifications (CCN) 1

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

• Sanford Health Network

  dba Sanford Sheldon Medical Center

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623

  Parent provider

  Provider of Services

Other NPIs on the same Medicare enrollment 1

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

• Sanford Health Network

  dba Sanford Clinic Sheldon

  • Family Medicine Physician
  • Sheldon, IA
  • NPI 1831281047

  O20050527000717

  Same enrollment

Part of

Olson Medical Clinic

All disclosed owners & managing parties 17

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1982780144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "address_2": "P.O. BOX 10",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011242",
            "telephone_number": "712-324-5356",
            "fax_number": "712-324-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011242",
            "telephone_number": "712-324-5356",
            "fax_number": "712-324-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANFORD HEALTH NETWORK",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-324-5356"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254656",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0638593",
            "state": "IA"
        }
    ],
    "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 Clinic Sheldon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Clinic Sheldon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanford Health Network (Sanford Sheldon Walk In Clinic)
• Sanford Health Network (Sanford Sheldon Medical Center)
• Sanford Health Network (Sanford Clinic Sheldon)
• Sanford Health Network (Sanford Sheldon Medical Center)
• Sanford Health Network (Sanford Home Health and Hospice Sheldon)
• Sanford Healthcare Accessories, LLC (Sanford Health Equip)
• Grace Katherine Schwaller
• Erin Rose Seivert, D.D.S.
• Courtney Sexe, CCC-SLP
• Sheldon Community School District

• Rural Health Clinic/Center in Sheldon, IA
• Providers in Sheldon, IA by specialty
• Rural Health Clinic/Center in Iowa

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.