MONUMENT HEALTH RAPID CITY HOSPITAL, INC. (NPI# 1003145392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003145392 |
| Entity Type | Organization |
| Organization Name | MONUMENT HEALTH RAPID CITY HOSPITAL, INC. |
| Other Organization Name | MONUMENT HEALTH DIALYSIS CENTER |
| Practice Address |
353 Fairmont Blvd Rapid City SD 57701-7375 |
| Mailing Address |
Po Box 860013 Minneapolis MN 55486-0013 |
| Practice Telephone | 6057191000 |
| Mailing Telephone | 6057552165 |
| Mailing Fax Number | 6057554593 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | JOHN PIERCE (MONUMENT HEALTH PRESIDENT) |
| Authorized Official Telephone | 6057558162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
10558 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | SD LICENSE | 10558 | 01 |
| SD | 1003145392 | 05 |
| Other Name | Type Code |
|---|---|
| Monument Health Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770982480 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 2929 5th St Ste 240 and 250, Rapid City, SD 57701-7363 | 2014-08-19 |
| 1255415246 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 132 Yankee St, Spearfish, SD 57783-2948 | 2006-10-25 |
| 1275553463 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 725 Meade St, Rapid City, SD 57701-5334 | 2006-07-20 |
| 1861469587 | Monument Health Rapid City Hospital, Inc. | Psychiatric Unit | 915 Mountain View Rd, Rapid City, SD 57702-3414 | 2006-03-01 |
| 1487621116 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 640 Flormann St Ste 401, Rapid City, SD 57701-4679 | 2006-03-01 |
| 1952378671 | Monument Health Rapid City Hospital, Inc. | Rehabilitation Unit | 1050 Fairmont Blvd Ste A100, Rapid City, SD 57701-6360 | 2006-03-01 |
| 1124407044 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 1303 N Lacrosse St, Rapid City, SD 57701-6956 | 2015-05-26 |
| 1306225222 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 2116 Jackson Blvd, Rapid City, SD 57702-3495 | 2015-05-26 |
| 1821477746 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 640 Flormann St, Rapid City, SD 57701-4679 | 2015-05-26 |
| 1871972794 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 2805 5th St, Rapid City, SD 57701-6003 | 2015-05-26 |
| Street Address |
353 FAIRMONT BLVD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-7375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821248 | Raymond W Nowaczyk | Hospitalist | 353 Fairmont Blvd, Rapid City, SD 57701 | 2005-06-16 |
| 1770183329 | Kaitlin Mary Counts | Speech-Language Pathologist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-10-31 |
| 1659985067 | Amanda Dillon | Physical Therapist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-09-02 |
| 1003428053 | Abigail Renn | Dietitian, Registered | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-08-20 |
| 1023644010 | Morgan Linneman | Registered Nurse | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-03-21 |
| 1730713074 | Teresa Olive Ohlmacher | Nurse Anesthetist, Certified Registered | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-02-25 |
| 1730711144 | Nicole M Weyer | Nurse Practitioner | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-02-04 |
| 1538799101 | Garrett Folchert | Occupational Therapist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-01-22 |
| 1134768583 | Neil Matthiessen | Occupational Therapist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-01-02 |
| 1164061693 | Alexa Klimes | Speech-Language Pathologist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487621116 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 640 Flormann St Ste 401, Rapid City, SD 57701-4679 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437502614 | Total Renal Care Inc | Clinic/Center | 3313 6th Ave Se, Aberdeen, SD 57401-5504 | 2016-07-22 |
| 1922318666 | Dialysis Management Group LLC | Clinic/Center | Hcr 49, Porcupine, SD 57772-0000 | 2010-10-15 |
| 1255415246 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 132 Yankee St, Spearfish, SD 57783-2948 | 2006-10-25 |
| 1184711061 | Total Renal Care | Clinic/Center | 400 Park, Gregory, SD 57533 | 2006-10-10 |
| 1710087713 | Black Hills Dialysis, LLC | Clinic/Center | 100 Dialysis Drive, Pine Ridge, SD 57770-3013 | 2006-09-22 |
| 1356301519 | Total Renal Care Inc | Clinic/Center | 1 Soldier Creek Rd, Rosebud, SD 57570-0610 | 2006-03-23 |
| 1033178660 | Total Renal Care Inc | Clinic/Center | 2326 W 69th St, Sioux Falls, SD 57108-5600 | 2006-03-22 |
| 1477512093 | Total Renal Care Inc | Clinic/Center | 819 E Spruce St, Ste 100, Mitchell, SD 57301-4800 | 2006-03-22 |
| 1881110484 | Sanford Medical Center | Clinic/Center | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2017-08-16 |
| 1952841629 | Avera Mckennan | Clinic/Center | 301 Flynn Dr, Ste 4, Milbank, SD 57252-1508 | 2017-03-01 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.