Organization
SANFORD MEDICAL CENTER
Active
Parent organization
SANFORD MEDICAL CENTER
Other names
Sanford USD Medical Center - Chamberlain Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANFORD MEDICAL CENTER
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
(605) 333-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
10564
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83502
BLUE CROSS SD
—
Enumeration date
07/20/2006
Last updated
11/27/2023
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