Public record

CMS Hospice All Owners

Associate id: 6800707100 · 28 matching records

Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
0345145231
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-30
First name - owner
MARK
Middle name - owner
ALLEN
Last name - owner
LUNDEEN
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
0648708495
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-09-01
First name - owner
RAMON
Middle name - owner
ALFREDO
Last name - owner
PASTRANO
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
1153753546
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-30
First name - owner
MARNIE
Middle name - owner
LYNN
Last name - owner
VENTLING-HERRMANN
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
1355348376
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-01-19
First name - owner
TONY
Middle name - owner
LEE
Last name - owner
MORRISON
Title - owner
VP, CHIEF REVENUE CYCLE OFFICER
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
2062994122
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2026-09-01
First name - owner
CHARLIE
Last name - owner
WEAVER
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
2466599493
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-30
First name - owner
BRENT
Middle name - owner
GERARD
Last name - owner
TEIKEN
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
2567616295
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-04-17
First name - owner
JOLYN
Middle name - owner
JOY
Last name - owner
MUNSON
Title - owner
VP, REVENUE CYCLE OPERATIONS
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
2961875984
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-10-01
First name - owner
JOEL
Middle name - owner
ADAM
Last name - owner
FLUIT
Title - owner
CFO - GOOD SAMARITAN SOCIETY
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
3274986153
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-01-01
First name - owner
DANA
Middle name - owner
JAMES
Last name - owner
DYKHOUSE
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
3870876121
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-30
First name - owner
ANDREW
Middle name - owner
STEWART
Last name - owner
NORTH
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
4587987797
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-01-27
First name - owner
AIMEE
Middle name - owner
NICOLE
Last name - owner
MIDDLETON
Title - owner
COO - GOOD SAMARITAN SOCIETY
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
5092168971
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-30
First name - owner
STEPHANIE
Middle name - owner
MARIE
Last name - owner
HERSETH SANDLIN
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
5395156913
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-11-23
First name - owner
WILLIAM
Middle name - owner
JOSEPH
Last name - owner
GASSEN
Title - owner
CEO
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
5395156913
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-11-23
First name - owner
WILLIAM
Middle name - owner
JOSEPH
Last name - owner
GASSEN
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
5890699854
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
GEORGE
Middle name - owner
JOSEPH
Last name - owner
BROWN
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
6406995745
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-30
First name - owner
WESLEY
Middle name - owner
OWEN
Last name - owner
ENGBRECHT
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
7315475324
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
MAUREEN
Middle name - owner
PATRICIA
Last name - owner
MCCAUSLAND
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
7416089834
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2009-11-02
Organization name - owner
SANFORD
Doing business as name - owner
SANFORD EAST INTERSTATE AVE CLINIC
Address line 1 - owner
801 BROADWAY N
City - owner
FARGO
State - owner
ND
Zip code - owner
581023641
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
Y
Other type - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
8224041736
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-01-01
First name - owner
NATHAN
Middle name - owner
THOMAS
Last name - owner
SCHEMA
Title - owner
PRESIDENT
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
8224566237
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
THOMAS
Middle name - owner
RICHARD
Last name - owner
WENZEL
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
8325016132
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-30
First name - owner
DAVID
Middle name - owner
JONATHAN
Last name - owner
SHULKIN
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
8426960204
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2009-11-02
Organization name - owner
SANFORD HEALTH
Doing business as name - owner
SANFORD HEALTH
Address line 1 - owner
1305 W 18TH ST
City - owner
SIOUX FALLS
State - owner
SD
Zip code - owner
571050401
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
8628985389
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-30
First name - owner
NEIL
Middle name - owner
LESLIE
Last name - owner
GULSVIG
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
9133657141
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-01-01
First name - owner
KEVIN
Middle name - owner
VICTOR
Last name - owner
SCHIEFFER
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
9234022450
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-05-30
First name - owner
LAURIS
Middle name - owner
NELSON
Last name - owner
MOLBERT
Title - owner
BOARD OF TRUSTEES
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
9234239369
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2019-06-26
First name - owner
SCOTT
Middle name - owner
A
Last name - owner
LICHTY
Title - owner
MD;
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
9335589902
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-04-08
First name - owner
NICHOLAS
Middle name - owner
WAYNE
Last name - owner
OLSON
Title - owner
EXEC VP, CFO, TREASURER
Enrollment id
O20080225000392
Associate id
6800707100
Organization name
SANFORD HEALTH NETWORK
Associate id - owner
9638416738
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-03-29
First name - owner
TERESA
Last name - owner
MAYER
Title - owner
AD;

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