NPIMap

Monument Health Rapid City Hospital, Inc.

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rapid City, SD

NPI 1003145392 · NPPES record last updated Dec 15, 2022

Key facts

NPI
1003145392
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
License
10558 (SD)
Legal business name
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
Practice address
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone
(605) 719-1000
NPI assigned
Dec 15, 2009
Organization subpart
No

Authorized official

Name
John Pierce
Title
Monument Health President
Phone
(605) 755-8162

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 10558 SD Yes

Addresses

Primary practice location

353 Fairmont Blvd
Rapid City, SD 57701-7375

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 755-2165

Other identifiers

IdentifierTypeStateIssuer
1003145392MedicaidSD
10558OtherSDSD LICENSE

Other names

  • Monument Health Dialysis Center Doing business as

Other providers in Rapid City, SD

All providers in Rapid City, SD · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Dakota

Sources for this page

Verify at the official NPI Registry.