NPIMap

Organization Active NPI

Monument Health Rapid City Hospital, Inc.

Doing business as Monument Health Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rapid City, SD
National Provider Identifier
1487621116
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
10558 Issued in SD
Legal business name
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
Doing business as
Monument Health Dialysis Center
Practice address
955 E North St Ste 200
Rapid City, SD 57701-1745
Phone
(605) 755-6950
Fax
(605) 755-6997
NPI assigned
Mar 1, 2006
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
John Pierce
Title
Monument Health President
Phone
(605) 755-8162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 10558 SD Primary

Addresses

Primary practice location

955 E North St Ste 200
Rapid City, SD 57701-1745

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 755-6950

Other identifiers 2

IdentifierTypeStateIssuer
5550060MedicaidSD
82305OtherSDWELLMARK

Other names 1

  • Monument Health Dialysis Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 22

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

View all 22

National Provider Directory

National Provider Directory

Locations

640 Flormann St
Ste 401
Rapid City, SD 57701
Phone (605) 755-6950

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1487621116",
    "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": "605-755-6950",
            "fax_number": "605-755-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E NORTH ST STE 200",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011745",
            "telephone_number": "605-755-6950",
            "fax_number": "605-755-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH RAPID CITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MONUMENT HEALTH PRESIDENT",
        "authorized_official_telephone_number": "605-755-8162"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "SD",
            "license": "10558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5550060",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "82305",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Health Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monument Health Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.