Organization Active NPI

Monument Health Network, Inc.

  • Rural Health Clinic/Center
  • Newcastle, WY
National Provider Identifier
1417336637
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MONUMENT HEALTH NETWORK, INC.
Doing business as
Monument Health Newcastle Clinic
Newcastle Regional Medical Clinic
Practice address
1121 Washington Blvd
Newcastle, WY 82701-2968
Phone
(307) 746-6720
Fax
(605) 718-7082
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Thomas Worsley
Title
President Spearfish Hospital
Phone
(307) 746-6720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1121 Washington Blvd
Newcastle, WY 82701-2968

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (307) 746-6720

Other names 2

  • Monument Health Newcastle Clinic Doing business as
  • Newcastle Regional Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2021 Change of OwnershipThis provider was the seller Weston County Hospital DistrictCCN 533806, WY, NPI 1982288312

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1417336637",
    "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": "307-746-6720",
            "fax_number": "605-718-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WASHINGTON BLVD",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012968",
            "telephone_number": "307-746-6720",
            "fax_number": "605-718-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "WORSLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT SPEARFISH HOSPITAL",
        "authorized_official_telephone_number": "307-746-6720"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Health Newcastle Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Newcastle Regional Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newcastle, WY

Sources for this page

Verify at the official NPI Registry.