MONUMENT HEALTH NETWORK, INC. (NPI# 1033597760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033597760 |
| Entity Type | Organization |
| Organization Name | MONUMENT HEALTH NETWORK, INC. |
| Other Organization Name | MONUMENT HEALTH LEAD-DEADWOOD CLINIC |
| Practice Address |
71 Charles St Deadwood SD 57732-1303 |
| Mailing Address |
Po Box 860013 Minneapolis MN 55486-0013 |
| Practice Telephone | 6057176431 |
| Practice Fax Number | 6057178033 |
| Mailing Telephone | 6057176431 |
| Mailing Fax Number | 6057557884 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | MARK C SCHMIDT (PRESIDENT CUSTER LD-DWD HOSPITAL) |
| Authorized Official Telephone | 6057176020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | SD LICENSE | 10535 | 01 |
| Other Name | Type Code |
|---|---|
| Lead Deadwood Regional Medical Clinic | Doing Business As Name - Organization |
| Monument Health Lead-Deadwood Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073992004 | Monument Health Network, Inc. | Family Medicine | 209 Ramsland St, Buffalo, SD 57720-0045 | 2015-05-22 |
| 1770502460 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Avenue, Sturgis, SD 57785-2358 | 2006-07-19 |
| 1174569347 | Monument Health Network, Inc. | Clinic/Center | 1440 N Main Street, Spearfish, SD 57783-1505 | 2006-06-22 |
| 1174590806 | Monument Health Network, Inc. | Ambulance | 61 Charles St, Deadwood, SD 57732-1303 | 2006-03-01 |
| 1083681712 | Monument Health Network, Inc. | General Acute Care Hospital | 2140 Junction Ave, Sturgis, SD 57785-2079 | 2006-03-01 |
| 1205803160 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1220 Montgomery St, Custer, SD 57730-1705 | 2006-02-28 |
| 1861466898 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1440 N Main St, Spearfish, SD 57783-1505 | 2006-02-15 |
| 1760998983 | Monument Health Network, Inc. | General Acute Care Hospital | 2140 Junction Ave, Sturgis, SD 57785-2079 | 2017-12-26 |
| 1841706686 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2017-12-15 |
| 1588185268 | Monument Health Network, Inc. | Clinic/Center | 1100 Highway 71 S Ste 101, Hot Springs, SD 57747-8801 | 2017-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MONUMENT HEALTH NETWORK, INC | 353 Fairmont Blvd, Rapid City, SD 57701-7375 |
| Street Address |
71 CHARLES ST |
| City | DEADWOOD |
| State | SD |
| Zip Code | 57732-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718769 | Elizabeth J Sayler | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-24 |
| 1073078762 | Rachael Rovere | Pharmacist | 71 Charles St, Deadwood, SD 57732-1303 | 2019-02-06 |
| 1356818900 | Mackenzi Kay Gatzke | Physician Assistant | 71 Charles St, Deadwood, SD 57732-1303 | 2018-10-31 |
| 1124563655 | Regional Health Network Inc. | Dietitian, Registered | 71 Charles St, Deadwood, SD 57732 | 2016-12-19 |
| 1558740472 | Monument Health Network, Inc. | Clinic/Center | 71 Charles St, Deadwood, SD 57732-1303 | 2015-05-26 |
| 1891121356 | Lee Cordell | Pharmacist | 71 Charles St, Deadwood, SD 57732-1303 | 2013-09-16 |
| 1437300795 | White Drug Enterprises Inc | Pharmacy | 71 Charles St, Deadwood, SD 57732-1303 | 2008-10-06 |
| 1407997810 | Regional Health Physicians Inc | Clinic/Center | 71 Charles St, Deadwood, SD 57732-1303 | 2007-02-09 |
| 1194871194 | Regional Health Network Inc | Durable Medical Equipment & Medical Supplies | 71 Charles St, Deadwood, SD 57732-1303 | 2007-01-25 |
| 1154471282 | Peggy L Hubbard | Physician Assistant | 71 Charles St, Deadwood, SD 57732 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699297408 | Megan Quinn | Physical Therapist | 61 Charles Street, Regional Health Lead-deadwood Hospital, Deadwood, SD 57732 | 2017-07-13 |
| 1144506593 | Ashley Johnson | Pharmacist | 71 Charles Street, Deadwood, SD 57732 | 2011-10-31 |
| 1699825190 | Larry Douglas Anderson | Dentist | 11736 Impressive View Drive, Deadwood, SD 57732-0154 | 2007-01-10 |
| 1740326214 | Black Hills Special Services | Case Management | 870 Main St, Deadwood, SD 57732-1004 | 2007-01-30 |
| 1881649135 | Michael J. Guilbert | Optometrist | 88 Charles St, Deadwood, SD 57732-1303 | 2006-05-24 |
| 1174590806 | Monument Health Network, Inc. | Ambulance | 61 Charles St, Deadwood, SD 57732-1303 | 2006-03-01 |
| 1164907598 | Regional Health Network, Inc. | Clinical Medical Laboratory | 61 Charles St, Deadwood, SD 57732-1303 | 2018-10-02 |
| 1225544869 | Jim Hermeling | Occupational Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2017-12-19 |
| 1003344789 | Brett M Johnson | Physician Assistant | 61 Charles St, Deadwood, SD 57732-1303 | 2017-05-25 |
| 1619383916 | Urszula Eisner | Physical Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2014-07-08 |
| Find all providers in zip 57732 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558740472 | Monument Health Network, Inc. | Clinic/Center | 71 Charles St, Deadwood, SD 57732-1303 | 2015-05-26 |
| 1255377412 | Monument Health Network, Inc. | Clinic/Center | 61 Charles St, Deadwood, SD 57732-1303 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1144707472 | Pure Medical Aesthetics | Clinic/Center | 525 Kansas City St, Rapid City, SD 57701-3673 | 2018-07-19 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1811381817 | Premise Health of South Dakota PC | Clinic/Center | 2200 E Benson Rd, Sioux Falls, SD 57104-7023 | 2015-03-27 |
| 1700090560 | Regional Health Physicians Inc | Clinic/Center | 101 East Third Street, Newell, SD 57760-0468 | 2007-05-10 |
| 1770502460 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Avenue, Sturgis, SD 57785-2358 | 2006-07-19 |
| 1063458263 | Regional Health Physicians Inc | Clinic/Center | 557 E Main Street, Hill City, SD 57745-0000 | 2006-06-22 |
| 1174569347 | Monument Health Network, Inc. | Clinic/Center | 1440 N Main Street, Spearfish, SD 57783-1505 | 2006-06-22 |
| 1609849165 | Dakota Hills Family Practice | Clinic/Center | 1010 Ballpark Rd, Suite 2, Sturgis, SD 57785-2364 | 2006-02-07 |
| 1841706686 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2017-12-15 |
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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.