NPIMap

Organization Active NPI

Huron Regional Medical Center, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Huron, SD
National Provider Identifier
1407918063
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
52113 Issued in SD
Legal business name
HURON REGIONAL MEDICAL CENTER, INC
Practice address
172 4TH St SE
Huron, SD 57350-2510
Phone
(605) 353-6200
NPI assigned
Dec 13, 2006
Last updated
Nov 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Erick Larson
Title
Ceo
Phone
(605) 353-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 52113 SD Primary

Addresses

Primary practice location

172 4TH St SE
Huron, SD 57350-2510

Mailing address

172 4TH St SE
Huron, SD 57350-2510
Phone (605) 353-6200

Other identifiers 1

IdentifierTypeStateIssuer
0100110MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040123000946 SD Part B Supplier - Clinic/Group Practice 2769393388 Receives reassigned benefits from 130 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huron, SD
O20070126000547 SD Part A Provider - Critical Access Hospital 2769393388 Practice locations: Huron, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407918063. Details of each certification follow.

Hospital certification: CCN 43Z335

Legal name
HURON REGIONAL MEDICAL CENTER INC
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1978 in SD
Enrollment address
172 4TH St SE
Huron, SD 57350-2510

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Huron Reg Stress6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin L Hofer Individual Corporate DirectorDirector Jul 1, 2025
Laurie Shelton Individual Corporate DirectorDirector Jul 1, 2025
Denis Drake Individual Corporate DirectorDirector Jul 1, 2019
Laurie Solem Individual Corporate DirectorDirector Jul 1, 2016
Sean Schooley Individual Corporate DirectorDirector Jul 1, 2025
Anthony Loewen Individual Corporate DirectorDirector Jul 1, 2025
Erick Larson Individual Contracted Managing EmployeeContracted Manager Employee Aug 1, 2020
Jake Lindgren Individual Corporate DirectorDirector Jul 1, 2025
Laura Willemssen Individual Corporate DirectorBoard Member-Director Jul 1, 2018
Doug Stahly Individual Corporate DirectorDirector Jul 1, 2025
Angie Uttecht Individual Corporate DirectorChairman of Board Jul 1, 2025
Robert C Hohm Individual Corporate Director Jul 1, 2023
Mark Robish Individual Corporate DirectorDirector Jul 1, 2024
Wayne H Carr Individual Corporate DirectorMember of Board Jul 1, 2023
Spencer White Individual Corporate DirectorDirector Jul 1, 2024

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 20

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 20

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1407918063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 4TH ST SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502510",
            "telephone_number": "605-353-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 4TH ST SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502510",
            "telephone_number": "605-353-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON REGIONAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-353-6200"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "SD",
            "license": "52113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100110",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.