Healthcare Provider Details

I. General information

NPI: 1780149864
Provider Name (Legal Business Name): SANFORD MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 SD HIGHWAY 10
SISSETON SD
57262-2510
US

IV. Provider business mailing address

2701 S MINNESOTA AVE STE 1
SIOUX FALLS SD
57105-4746
US

V. Phone/Fax

Practice location:
  • Phone: 605-698-2222
  • Fax:
Mailing address:
  • Phone: 605-367-2869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: APRIL STEIN
Title or Position: PHARMACY OPERATIONS COORDINATOR
Credential:
Phone: 605-367-2850