Sanford Clinic Jackson – Rural Health Clinic/Center, NPI 1083638357
Rural Health Clinic/Center
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Sanford Clinic Jackson
202 Industrial Park
Jackson, MN 561439448
Phone: (507) 847-2200
Fax: (507) 847-3808
Type: Location
25329 Alvwood Rd NE
Blackduck, MN 566304403
Phone: (507) 847-2200
Type: Location
Sioux Falls Post Office, 320, South 2nd Avenue, Downtown, Sioux Falls, Sioux Falls Township, Minnehaha County, South Dakota, 57104, United States
SIOUX FALLS, SD 571175074
Phone: (605) 328-6585
Fax: (605) 328-8311
Type: Mailing
Sanford Jackson Medical Center, 1430, North Highway, Jackson, Jackson County, Minnesota, 56143, United States
JACKSON, MN 561431093
Phone: (507) 847-2200
Fax: (507) 847-3728
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-06-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (45 days ago).
Enrollment records
1
Earliest due date
2026-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080630000143 | O | Rural Health Clinic | MN | 2026-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56143)
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