MONUMENT HEALTH NETWORK, INC. (NPI# 1659750578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659750578 |
Entity Type | Organization |
Organization Name | MONUMENT HEALTH NETWORK, INC. |
Other Organization Name | MONUMENT HEALTH NEWCASTLE CLINIC |
Practice Address |
1121 Washington Blvd Newcastle WY 82701-2968 |
Mailing Address |
Po Box 860013 Minneapolis MN 55486-0013 |
Practice Telephone | 3077466720 |
Practice Fax Number | 6057187082 |
Mailing Telephone | 3077466720 |
Mailing Fax Number | 6057187082 |
Enumeration Date | 2015-05-26 |
Last Update Date | 2020-03-31 |
Authorized Official Name | THOMAS WORSLEY (PRESIDENT SPEARFISH HOSPITAL) |
Authorized Official Telephone | 6056444091 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Monument Health Newcastle Clinic | Doing Business As Name - Organization |
Newcastle Regional Medical Clinic Part B | 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 |
1121 WASHINGTON BLVD |
City | NEWCASTLE |
State | WY |
Zip Code | 82701-2968 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508941790 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1121 Washington Blvd, Suite 2, Newcastle, WY 82701-2968 | 2006-10-26 |
1982244109 | Jessica Whitney | Nurse Practitioner | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2020-01-15 |
1417336637 | Monument Health Network, Inc. | Clinic/Center | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2015-05-20 |
1447653456 | Tracy Wickersham-frey | Physician Assistant | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2014-10-04 |
1508290248 | Regional Health Physicians, Inc. | Family Medicine | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2013-08-29 |
1164855813 | Regional Health Physicians, Inc. | Clinic/Center | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2013-08-16 |
1407067408 | Dawn Marie Gates | Registered Nurse | 1121 Washington Blvd, Weston County Health Service, Newcastle, WY 82701 | 2007-05-24 |
1700900719 | Cedar Hills Family Clinic, P.C. | Clinic/Center | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2007-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164812475 | Weston County Pharmacy | Pharmacist | 727a Washington Blvd, Newcastle, WY 82701 | 2015-01-26 |
1326385394 | Candice Marie Watt | Counselor | 420 Deanne Avenue, Newcastle, WY 82701 | 2013-01-11 |
1619288503 | Zelda M Anderson | Case Manager/Care Coordinator | 466 Oil Creek Road, Newcastle, WY 82701 | 2010-06-25 |
1265769772 | Sharon Adean Materi | Case Manager/Care Coordinator | 23038 U.S. Highway 85, Newcastle, WY 82701 | 2009-11-05 |
1740424332 | Monte William Straley | Pharmacist | 727 A Washington Blvd, Newcastle, WY 82701 | 2009-04-27 |
1669539235 | Weston County Hospital District | Case Management | 725 Washington Blvd, Newcastle, WY 82701 | 2007-01-03 |
1154402972 | Weston County Hospital District | Emergency Medicine | 1124 Washington Boulevard, Newcastle, WY 82701 | 2006-10-18 |
1841381514 | Newcastle Ambulance Service | Ambulance | 7 W Wenworth, Newcastle, WY 82701 | 2006-09-27 |
1750362588 | Michael Lee Carpenter | Physician Assistant | 1121 Washington Ave, Newcastle, WY 82701 | 2005-11-09 |
1770887184 | Abi Jo Dysart | Chiropractor | 128 W Main St, Ste G, Newcastle, WY 82701 | 2010-12-28 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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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.