Organization
SANFORD HEALTH NETWORK
Active
Parent organization
SANFORD HEALTH NETWORK
Other names
Pioneer Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANFORD HEALTH NETWORK
Authorized official
MR. JOEL MASON GUSTAFSON (ADMINISTRATOR)
(712) 472-3716
Entity
Organization
Contact information
Practice address
803 S GREENE ST, ROCK RAPIDS, IA 51246-1948
(712) 472-3716
(712) 472-2878
Mailing address
803 S GREENE ST, ROCK RAPIDS, IA 51246-1948
(712) 472-3716
(712) 472-2878
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250498
—
IA
05
—
0638700
—
IA
Enumeration date
11/08/2006
Last updated
11/27/2023
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