NPIMap

Monument Health Rapid City Hospital, Inc.

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Spearfish, SD

NPI 1255415246 · NPPES record last updated Mar 16, 2020

Key facts

NPI
1255415246
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
License
10535 (SD)
Legal business name
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
Practice address
132 Yankee St
Spearfish, SD 57783-2948
Phone
(605) 644-9000
NPI assigned
Oct 25, 2006
Organization subpart
No

Authorized official

Name
John Pierce
Title
President of Monument Health
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.

Practitioners 20

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 10535 SD Yes

Addresses

Primary practice location

132 Yankee St
Spearfish, SD 57783-2948

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 722-8110

Other names

  • Monument Health Dialysis Center 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 Mar 16, 2020.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1255415246",
    "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": "605-722-8110",
            "fax_number": "605-722-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 YANKEE ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832948",
            "telephone_number": "605-644-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH RAPID CITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT OF MONUMENT HEALTH",
        "authorized_official_telephone_number": "605-755-8162"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "SD",
            "license": "10535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Health Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spearfish, SD

All providers in Spearfish, SD · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Dakota

Sources for this page

Verify at the official NPI Registry.