| Organization Name: | SANFORD MEDICAL CENTER |
| NPI Number: | 1356361703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE A BRUHN (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 300 S Byron Blvd Chamberlain |
| State: | SD US |
| Postal Code: | 573259741 |
| Phone Number: | 6053331000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 01/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 10564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |