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
Corporate family (same tax ID) 15
Practitioners 7
-
Katherine Jean Dolney, PA-C
-
Jeffrey S Grande, PA-C
-
Sonal Natwarlal Patel, M.D.
-
Gurpreet Singh, MD
-
Arok Thon, PA-STUDENT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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
- Taylor Lyn Hunter
- Jason Robert Jones
- Teresa Leuck
- Love, Me Counseling LLC
- Kailee McFadden
- Monument Health Rapid City Hospital, Inc
- Monument Health Rapid City Hospital, Inc
- Monument Health Rapid City Hospital, Inc
- Taylor Mowery
- NP Connection, PLLC
All providers in Box Elder, SD · Multi-Specialty Clinic/Center 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 Jun 26, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.