Healthcare Provider Details
I. General information
NPI: 1831675438
Provider Name (Legal Business Name): SANFORD MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2018
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2525 S ELLIS RD
SIOUX FALLS SD
57106-7066
US
IV. Provider business mailing address
2701 S MINNESOTA AVE STE 1
SIOUX FALLS SD
57105-4746
US
V. Phone/Fax
- Phone: 605-367-2410
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 100-2056 |
| License Number State | SD |
VIII. Authorized Official
Name:
APRIL
STEIN
Title or Position: PHARMACY OPERATIONS COORDINATOR
Credential:
Phone: 605-367-2850