SANFORD USD MEDICAL CENTER - MADISON DIALYSIS – NPI #1538181326
Clinic/Center

SANFORD USD MEDICAL CENTER - MADISON DIALYSIS is an AHC clinic located in MADISON, SD. NPPES has assigned the NPI number 1538181326 to SANFORD USD MEDICAL CENTER - MADISON DIALYSIS on July 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SANFORD USD MEDICAL CENTER - MADISON DIALYSIS” is a dba name, the actual legal business name for this organization is SANFORD MEDICAL CENTER. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANFORD USD MEDICAL CENTER - MADISON DIALYSIS below.

NPI Profile for
SANFORD MEDICAL CENTER

NPI Number
1538181326
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SANFORD MEDICAL CENTER
Doing Business As (dba): SANFORD USD MEDICAL CENTER - MADISON DIALYSIS
Primary location
323 SW 10TH ST
MADISON, SD 57042
Phone: (605) 256-8870 Fax:
Mailing address
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone: (605) 328-6585 Fax: (605) 328-6512
Organization Subpart
Yes - SANFORD USD MEDICAL CENTER - MADISON DIALYSIS is subpart of another organization.
Authorized Official
TONY MORRISON
VICE PRESIDENT, REVENUE CYCLE
Phone: (605) 328-8380
Updated
Certification Date
Jul 01, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SANFORD USD MEDICAL CENTER - MADISON DIALYSIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS SD83507
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
SD 10564

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669