Organization
SANFORD HEALTH NETWORK
Active
Other names
Sanford Jackson Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
1430 NORTH HWY, JACKSON, MN 56143-1093
(507) 847-2420
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
331670
MN
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927947
—
IA
01
—
1697HJA
BLUE CROSS MN
—
01
—
26868
SIOUX VALLEY HEALTH PLAN
—
05
—
300703
—
MN
05
—
458545300
—
MN
01
—
5025350
MEDICA
—
01
—
H319
MIDLANDS CHOICE
—
Enumeration date
07/21/2006
Last updated
02/05/2021
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