SANFORD USD MEDICAL CENTER (SANFORD MEDICAL CENTER) NPI 1023299708

Ambulance (Air Transport) in Sioux Falls, SD

NPI 1023299708 Organization Ambulance Air Transport CLIA Number 43D0407227 CLIA Certificate of Accreditation

About SANFORD USD MEDICAL CENTER (SANFORD MEDICAL CENTER)

Sanford Usd Medical Center (sanford Medical Center) is a provider established in Sioux Falls, South Dakota specializing in ambulance (air transport) . The NPI number of Sanford Usd Medical Center (sanford Medical Center) is 1023299708 and was assigned on November 2007. The practitioner's primary taxonomy code is 3416A0800X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Sanford Usd Medical Center. The authorized official of this NPI record is Tony Lee Morrison (Vice President, Revenue Cycle)

The CLIA number of Sanford Usd Medical Center is 43D0407227 registered as a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Sanford Usd Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

NPI

1023299708

Provider NameSANFORD USD MEDICAL CENTER (SANFORD MEDICAL CENTER)
Provider Location Address1305 W 18TH ST SIOUX FALLS, SD 57105
Provider Mailing AddressPO BOX 5074 SIOUX FALLS, SD 57117
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameSANFORD USD MEDICAL CENTER
Other Name TypeDoing Business As (3)
Enumeration Date11-21-2007
Last Update Date06-25-2020


Primary Taxonomy

Taxonomy Code3416A0800X
ClassificationAmbulance
TypeTransportation Services
SpecializationAir Transport

Business Address

SANFORD USD MEDICAL CENTER
1305 W 18TH ST
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 333-1000

Get Directions


Mailing Address

SANFORD USD MEDICAL CENTER
PO BOX 5074
SIOUX FALLS, SD
ZIP 57117
Phone: (605) 328-6585
Fax: (605) 328-6512



Authorized Official

Authorized Official Name TONY LEE MORRISON
Authorized Official TitleVICE PRESIDENT, REVENUE CYCLE
Authorized Official Phone(605) 328-8380

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1023299708 is:

CLIA Number43D0407227
Facility TypeHOSPITAL
Certificate TypeCertificate of Accreditation

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
9020290MEDICAID (05)SD

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558366500 SCOTT PHAM M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 328-2929
1215932116 PAUL K ASPAAS JR. M.D.
Individual
Internal Medicine1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-6571
1124023171 CHARLES P O'BRIEN M.D.
Individual
Internal Medicine1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 328-2929
1508861329 DANIEL J HEINEMANN M.D.
Individual
Family Medicine1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-6571
1144221938 GREGORY L GEISE MD
Individual
Internal Medicine1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 328-4973
1164408845DR. MICHAEL R KOCH MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-1720
1134105810DR. BRADLEY B RANDALL MD
Individual
Specialist (Graphics Designer)1305 W 18TH ST
SIOUX FALLS, SD 57105
(800) 284-9806
1083690747DR. WESLEY D PUTNAM MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-1720
1972589653DR. DAVID W OHRT MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-1720
1114903895DR. JERRY L SIMMONS MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)1305 W 18TH ST
SIOUX FALLS, SD 57105
(800) 284-9806
1063498731DR. JOEL A ZIEBARTH MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-1720
1285612978DR. MARC A CAPITANO MD
Individual
Internal Medicine1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 328-4973
1972575322DR. CASEY S HUSSER M.D.
Individual
Anesthesiology1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-1000
1346213402 RENEE E ULLOM PA-C
Individual
Physician Assistant1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-1000
1336112366 GLENDA K BALTHAZOR CRNA
Individual
Nurse Anesthetist, Certified Registered1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-1000
1922071893 THOMAS E BEARE CRNA
Individual
Nurse Anesthetist, Certified Registered1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-1000
1326011123 JEANETTE F BERGLIN CRNA
Individual
Nurse Anesthetist, Certified Registered1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 328-2000
1588637383 CONSTANCE M BOWAR CRNA
Individual
Nurse Anesthetist, Certified Registered1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-1000
1902879703 SHARISE A CLEMENS CRNA
Individual
Nurse Anesthetist, Certified Registered1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 328-6548
1760455372 CHRIS J BENDER CRNA
Individual
Nurse Anesthetist, Certified Registered1305 W 18TH ST
SIOUX FALLS, SD 57105
(605) 333-1000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.