Monument Health Rapid City Hospital, Inc

Organization Active NPI Multi-Specialty Clinic/Center · Box Elder, SD

NPI 1063201150 · NPPES record last updated Jun 26, 2025

Key facts

NPI
1063201150
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
MONUMENT HEALTH RAPID CITY HOSPITAL, INC
Practice address
375 Berky Dr
Box Elder, SD 57719-8060
Phone
(605) 755-2273
Fax
(605) 755-2640
NPI assigned
May 5, 2025
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 15

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

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070625000144 SD Part B Supplier - Clinic/Group Practice 6002729506 Receives reassigned benefits from 883 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wall, SD; Spearfish, SD; Rapid City, SD; Box Elder, SD

National Provider Directory

Tax ID family
Massa Berry Clinic (60 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

375 Berky Dr
Box Elder, SD 57719-8060

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 755-8109

Other names

  • Monument Health Box Elder Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2025.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1063201150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860013",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860013",
            "telephone_number": "605-755-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BERKY DR",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577198060",
            "telephone_number": "605-755-2273",
            "fax_number": "605-755-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH RAPID CITY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT RCH",
        "authorized_official_telephone_number": "605-755-8162"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Health Box Elder Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monument Health Box Elder Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Box Elder, SD

All providers in Box Elder, SD · Multi-Specialty Clinic/Center in South Dakota

Sources for this page

Verify at the official NPI Registry.