NPIMap

Organization Active NPI

Monument Health Network, Inc.

Doing business as Buffalo Regional Medical Clinic Part B

  • Family Medicine Physician
  • Buffalo, SD
National Provider Identifier
1073992004
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONUMENT HEALTH NETWORK, INC.
Doing business as
Buffalo Regional Medical Clinic Part B
Monument Health Buffalo Clinic
Practice address
209 Ramsland St
Buffalo, SD 57720-0045
Phone
(605) 375-3744
Fax
(605) 375-3745
NPI assigned
May 22, 2015
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Thomas Worsley
Title
President Spearfish Hospital
Phone
(605) 644-4091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

209 Ramsland St
Buffalo, SD 57720-0045

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 375-3744

Other names 2

  • Buffalo Regional Medical Clinic Part B Doing business as
  • Monument Health Buffalo Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000854 SD Part B Supplier - Clinic/Group Practice 5991616427 Receives reassigned benefits from 370 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sturgis, SD; Spearfish, SD; Custer, SD; Hot Springs, SD; Hill City, SD; Deadwood, SD; Buffalo, SD; Belle Fourche, SD

Other NPIs on the same Medicare enrollment 16

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

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D1076117Monument Health Buffalo Clinic209 Ramsland, Buffalo, SD 57720Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Center M44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

2479 E Colorado Blvd
Spearfish, SD 57783
Phone (605) 644-4460

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1073992004",
    "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": "605-375-3744",
            "fax_number": "605-755-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 RAMSLAND ST",
            "city": "BUFFALO",
            "state": "SD",
            "postal_code": "577200045",
            "telephone_number": "605-375-3744",
            "fax_number": "605-375-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "WORSLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT SPEARFISH HOSPITAL",
        "authorized_official_telephone_number": "605-644-4091"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buffalo Regional Medical Clinic Part B",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monument Health Buffalo Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.