NPIMap

Organization Active NPI

Huron Regional Medical Center Inc

  • Community Based Hospice Care Agency
  • Huron, SD
National Provider Identifier
1033239587
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
52113 Issued in 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
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erick Larson
Title
Ceo/President
Phone
(605) 353-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 52113 SD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000798 SD Part A Provider - Hospice 2769393388 Practice locations: Huron, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033239587. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jul 1, 1978 in SD
Enrollment address
172 4TH St SE
Huron, SD 57350-2510

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Huron Regional Medical CenterCCN 431506 · All quality measures
Ownership
Non-Profit
Certified
Feb 12, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Frank Schafer6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin L Hofer Individual Corporate Director Jul 1, 2025
Laurie Shelton Individual Corporate Director Jul 1, 2025
Denis Drake Individual Corporate DirectorDirector Jul 1, 2019
Laurie Solem Individual Corporate Director Jul 1, 2025
Sean Schooley Individual Corporate Director Jul 1, 2025
Anthony Loewen Individual Corporate DirectorDirector Jul 1, 2025
Erick Larson Individual Contracted Managing EmployeeAd; Aug 1, 2020
Jake Lindgren Individual Corporate DirectorDirector Jul 1, 2025
Laura Willemssen Individual Corporate DirectorDirector Jul 1, 2018
Doug Stahly Individual Corporate DirectorDirector Jul 1, 2025
Angie Uttecht Individual Corporate DirectorChairman of Board Jul 1, 2016
Robert C Hohm Individual Corporate DirectorDirector Jul 1, 2022
Mark Robish Individual Corporate DirectorDirector Jul 1, 2024
Wayne H Carr Individual Corporate DirectorDirector Jul 1, 2023
Spencer White Individual Corporate DirectorDirector Jul 1, 2024

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.