NPIMap

Organization Active NPI

Monument Health Network, Inc.

Doing business as Monument Health Hill City Clinic

  • Family Medicine Physician
  • Hill City, SD
National Provider Identifier
1326477357
Registry record updated Apr 1, 2020
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
Monument Health Hill City Clinic
Practice address
238 Elm St
Hill City, SD 57745-8905
Phone
(605) 574-4470
Fax
(605) 574-2352
NPI assigned
Nov 12, 2013
Last updated
Apr 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Mark C Schmidt
Title
President Custer LD-DWD Hospital
Phone
(605) 717-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

238 Elm St
Hill City, SD 57745-8905

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 574-4470

Other names 1

  • Monument Health Hill City 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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1326477357",
    "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": "605-574-4470",
            "fax_number": "605-574-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 ELM ST",
            "city": "HILL CITY",
            "state": "SD",
            "postal_code": "577458905",
            "telephone_number": "605-574-4470",
            "fax_number": "605-574-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT CUSTER LD-DWD HOSPITAL",
        "authorized_official_telephone_number": "605-717-6020"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Health Hill City Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hill City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.