Monument Health Network, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MONUMENT HEALTH NETWORK, INC.

Doing business as

Monument Health Upton Clinic

Practice address

717 Pine Street
Regional Health Medical Clinic
Upton, WY 82730-9901

Phone

(307) 468-2302

Fax

(605) 718-7082

NPI assigned

May 20, 2015

Last updated

Mar 20, 2020By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Monument Health Upton Clinic Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Weston County Hospital District

  dba Weston County Upton Clinic

  • Rural Health Clinic/Center
  • Upton, WY
  • NPI 1588230015

  Sold to, 2021-07-01

  CMS change of ownership

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1104205327",
    "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": "607-468-2302",
            "fax_number": "605-718-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PINE STREET",
            "address_2": "REGIONAL HEALTH MEDICAL CLINIC",
            "city": "UPTON",
            "state": "WY",
            "postal_code": "827309901",
            "telephone_number": "307-468-2302",
            "fax_number": "605-718-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Health Upton Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monument Health Upton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kellie Baker
• Cedar Hills Family Clinic, P.C.
• Monument Health Network, Inc. (Monument Health Upton Clinic)
• Paintbrush Medical Center PC
• Regional Health Physicians, Inc. (Upton Regional Medical Clinic)
• Regional Health Physicians, Inc. (Upton Regional Medical Clinic)
• Christine Smith, RN

• Rural Health Clinic/Center in Upton, WY
• Providers in Upton, WY by specialty
• Rural Health Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.