Organization
SANFORD HEALTH NETWORK
Active
Parent organization
SANFORD HEALTH NETWORK
Other names
Sanford Clinic Sanborn
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANFORD HEALTH NETWORK
Authorized official
JOEL MASON GUSTAFSON (ADMINISTRATOR)
(712) 324-5356
Entity
Organization
Contact information
Practice address
321 MAIN ST, SANBORN, IA 51248-0400
(712) 729-3545
(712) 729-5767
Mailing address
321 MAIN ST, P.O. BOX 400, SANBORN, IA 51248-0400
(712) 729-3545
(712) 729-5767
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254656
—
IA
05
—
0638593
—
IA
Enumeration date
10/19/2006
Last updated
11/27/2023
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