NPIMap

Monument Health Rapid City Hospital, Inc

Organization Active NPI Occupational Medicine Clinic/Center · Rapid City, SD

NPI 1376370288 · NPPES record last updated Dec 13, 2024

Key facts

NPI
1376370288
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Medicine Clinic/Center 261QX0100X
Legal business name
MONUMENT HEALTH RAPID CITY HOSPITAL, INC
Practice address
6015 Mount Rushmore Rd Ste 2
Rapid City, SD 57701-8984
Phone
(605) 755-2273
Fax
(605) 755-0783
NPI assigned
Sep 16, 2024
Organization subpart
No

Authorized official

Name
John Pierce
Title
President
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.

Corporate family (same tax ID) 24

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

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D2309563Monument Health Rapid City Occupational Medicine
6015 Mount Rushmore Rd Suite 2, Rapid City, SD 57701		Certificate of waiverAug 18, 2026

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

Tax ID family
Massa Berry Clinic (60 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Yes

Addresses

Primary practice location

6015 Mount Rushmore Rd Ste 2
Rapid City, SD 57701-8984

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 755-8109

Other names

  • Monument Health Rapid City Clinic, Mount Rushmore Road Doing business as

Other providers in Rapid City, SD

All providers in Rapid City, SD · Occupational Medicine Clinic/Center in South Dakota

Sources for this page

Verify at the official NPI Registry.