# SANFORD HEALTH PLAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780412858
- **Authorized official:** DYLAN WHEELER JD (HEAD OF GOVERNMENT AFFAIRS)
- **Authorized official phone:** (605) 328-7186

## Contact information

- **Practice address:** 300 CHERAPA PL STE 201, SIOUX FALLS, SD 57103-2272
- **Practice address phone:** (605) 328-6868
- **Mailing address:** 300 CHERAPA PL STE 201, SIOUX FALLS, SD 57103-2272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 07/22/2024
- **Last updated:** 07/22/2024