MEDICARE: SANFORD MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	100-1972	SD

General Provider Information

NPI Number	:	1811263106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANFORD MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2701 S MINNESOTA AVE STE 1
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-4746
Country	:	US
Telephone Number	:	605-367-2850
Fax Number	:	605-367-2876

Provider Business Practice Location Address
First Line	:	1305 W HAVENS AVE
Second Line	:
City	:	MITCHELL
State	:	SD
Zip	:	57301-4116
Country	:	US
Telephone Number	:	605-292-4000
Fax Number	:

Authorized Official
Title or Position	:	PHARMACY OPERATIONS COORDINATOR
Name	:	APRIL STEIN
Credential	:
Telephone Number	:	605-367-2850

Provider Enumeration Date	:	03/30/2012
Last Update Date	:	04/17/2026

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