Huron Regional Medical Center Inc
Organization Active NPI Community Based Hospice Care Agency · Huron, SD
NPI 1033239587 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1033239587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 52113 (SD)
- Legal business name
- HURON REGIONAL MEDICAL CENTER INC
- Practice address
- 172 4TH St SE
Huron, SD 57350-2510 - Phone
- (605) 353-6200
- Fax
- (605) 353-6506
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Erick Larson
- Title
- Ceo/President
- Phone
- (605) 353-6200
Owners & managing parties with NPI records 4
-
Wayne H Carr, DC
-
Robert C Hohm, M.D.
-
Anthony Loewen, MD
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 5
Practitioners 45
-
Ryan W. Askeland, M.D.
-
Jason Lee Barnhard, CRNA
-
Kristina R Boetel, CNP
-
Kimberlee C Bohy, MD
-
Jordan Ray Finck, DPM
-
Cy B Haatvedt, M.D.
-
Samuel C Janes, CRNA
-
Ali D Jassim, MD
-
Ransom Jones, CRNA
-
Amy Marie Kerkvliet, M.D.
-
Joshua James Klinkhammer, CRNA
-
Terry Lee Larsen, D.O.
-
Amber Lynn Lockwood, CRNA
-
Anthony Loewen, MD
-
Douglas William Lynch, M.D.
-
Desirae M Muirhead, M.D.
-
Kristin Marie Pratt, CNP
-
Kevin Daniel Roark, CRNA
-
Ashwyna Sunassee, M.D.
-
Kevin J Vaska, MD
-
Karah White, M.D.
Affiliated clinicians 2
-
Vincent Oyler, MD
Medicare Care Compare: Hospice
- Listed as
- Huron Regional Medical Center
- Ownership
- Non-Profit
- Certified
- Feb 12, 1992
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Hospice certification: CCN 431506
- Legal name
- HURON REGIONAL MEDICAL CENTER INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 12, 1992
- Last certification
- May 5, 2021
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 1, 1978 in SD
- Enrollment address
- 172 4TH St SE
Huron, SD 57350-2510
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin L Hofer |
Corporate Director | Jul 1, 2025 | |
| Laurie Shelton |
Corporate Director | Jul 1, 2025 | |
| Denis Drake |
Corporate Director |
Jul 1, 2019 | |
| Laurie Solem |
Corporate Director | Jul 1, 2025 | |
| Sean Schooley |
Corporate Director | Jul 1, 2025 | |
| Anthony Loewen |
Corporate Director |
Jul 1, 2025 | |
| Erick Larson |
Contracted Managing Employee |
Aug 1, 2020 | |
| Jake Lindgren |
Corporate Director |
Jul 1, 2025 | |
| Laura Willemssen |
Corporate Director |
Jul 1, 2018 | |
| Doug Stahly |
Corporate Director |
Jul 1, 2025 | |
| Angie Uttecht |
Corporate Director |
Jul 1, 2016 | |
| Robert C Hohm |
Corporate Director |
Jul 1, 2022 | |
| Mark Robish |
Corporate Director |
Jul 1, 2024 | |
| Wayne H Carr |
Corporate Director |
Jul 1, 2023 | |
| Spencer White |
Corporate Director |
Jul 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101014000798 | SD | Part a Provider - Hospice | 2769393388 | Practice locations: Huron, SD |
National Provider Directory
- Tax ID family
- Huron Regional Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 52113 | SD | Yes |
Addresses
Primary practice location
172 4TH St SE
Huron, SD 57350-2510
Mailing address
530 Iowa Ave SE Ste 107
Huron, SD 57350-2800
Phone (605) 353-6200
NPI Registry JSON
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1033239587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 IOWA AVE SE STE 107",
"city": "HURON",
"state": "SD",
"postal_code": "573502800",
"telephone_number": "605-353-6200",
"fax_number": "605-353-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 4TH ST SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502510",
"telephone_number": "605-353-6200",
"fax_number": "605-353-6506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HURON REGIONAL MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "ERICK",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "605-353-6200"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "SD",
"license": "52113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Huron, SD · Community Based Hospice Care Agency in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.