Monument Health Rapid City Hospital, Inc.
Organization Active NPI Urgent Care Clinic/Center · Rapid City, SD
NPI 1376922591 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1376922591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
- Practice address
- 1303 N Lacrosse St
Rapid City, SD 57701-6956 - Phone
- (605) 755-2273
- Fax
- (605) 755-6602
- NPI assigned
- May 20, 2015
- Organization subpart
- No
Authorized official
- Name
- John Pierce
- Title
- Monument Health President
- Phone
- (605) 755-8162
Owners & managing parties with NPI records 2
-
Steven G Frost, M.D.
-
Steven Alan Maser, M.D.
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 24
Affiliated clinicians 917
-
Michael J Aanderud, PA-C
-
Prema Abraham, MD
-
Kyle Alan Adams, D.O.
-
Shakeel Ahmed, MD
-
Bayan Al Share, MD
-
Marc N Aldrich, MD
-
Oksana Aleksenko, MD
-
Richard B Allen, M.D.
-
Nicholas Rene Alonzo, PA-C
-
Halie M Anderson, M.D.
-
Megan Mae Anderson, CRNA
-
Ashley Anziano, PA-C
-
Courtney Arsaga, CNP
-
Doreen Aryee, MD
-
James A Aurand, M.D.
-
Jeremy Awori, MD
-
Karmela L Bachman, PA-C
-
Wesley Reid Badger, M.D.
Medicare Care Compare: Hospital
- Listed as
- Monument Health Rapid City Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Hospital certification: CCN 430077
- Legal name
- MONUMENT HEALTH RAPID CITY HOSPITAL INC
- Doing business as
- MONUMENT HEALTH RAPID CITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1973
- Last certification
- Jan 8, 2015
- Beds
- 417
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 13, 1973 in SD
- Enrollment address
- 353 Fairmont Blvd
Rapid City, SD 57701-7375 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Steven a Maser |
W-2 Managing Employee |
Dec 30, 2022 | 50% |
| Operational/Managerial Control |
Dec 30, 2022 | 50% | |
| Donna Wright |
Corporate Director |
Jul 1, 2024 | |
| Steven Gerard Frost |
Corporate Director |
Jul 1, 2021 | |
| Ruta P Davidson |
Corporate Officer |
Nov 9, 2015 | |
| Corporate Director |
Aug 18, 2018 | ||
| W-2 Managing Employee |
Aug 18, 2018 | 100% | |
| Operational/Managerial Control |
Nov 9, 2015 | 75% | |
| Scott R Barbour |
Corporate Director |
Aug 7, 2020 | |
| Jill a Tice |
W-2 Managing Employee |
Jul 25, 2019 | 50% |
| Operational/Managerial Control | Jul 25, 2019 | 50% | |
| Bradley J Archer |
Corporate Director |
Jul 1, 2018 | |
| Mark E Longacre |
W-2 Managing Employee | Jan 12, 2018 | 50% |
| Operational/Managerial Control | Jan 12, 2018 | 50% | |
| John Y Pierce |
Corporate Officer |
Sep 18, 2018 | 75% |
| Corporate Director |
Sep 18, 2018 | ||
| W-2 Managing Employee |
Sep 1, 2018 | 75% | |
| Operational/Managerial Control |
Sep 1, 2018 | 75% | |
| Dusty J Pinske |
Corporate Director |
Jul 1, 2020 | |
| Austin M Willuweit |
W-2 Managing Employee |
May 9, 2016 | 50% |
| Operational/Managerial Control |
May 9, 2016 | 50% | |
| Monument Health Inc |
Operational/Managerial Control | Jul 1, 2005 | 100% |
| Daryl L Reinicke |
Corporate Director |
Jun 27, 2019 | |
| Ross W McKie |
Corporate Director |
Jun 27, 2019 | |
| Holly Lien |
Corporate Director | Jan 1, 2023 | |
| Stephanie Forsythe |
Corporate Director |
Jul 1, 2024 | |
| Thomas a Rau |
Corporate Director |
Jul 1, 2018 | |
| Lance Roberts |
Corporate Director |
Jul 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040701001296 | SD | Part a Provider - Hospital | 6002729506 |
11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rapid City, SD |
National Provider Directory
- Tax ID family
- Massa Berry Clinic
Locations
6015 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 343-9224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes | ||
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
1303 N Lacrosse St
Rapid City, SD 57701-6956
Mailing address
PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 755-2273
Other names
- Monument Health Rapid City Urgent Care, Lacrosse Street
Other providers in Rapid City, SD
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
All providers in Rapid City, SD · Urgent Care Clinic/Center in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.