NPIMap

Organization Active NPI

Monument Health Network, Inc.

Doing business as Monument Health Sturgis Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Sturgis, SD
National Provider Identifier
1497722136
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MONUMENT HEALTH NETWORK, INC.
Doing business as
Monument Health Sturgis Hospital
Practice address
2140 Junction Ave
Sturgis, SD 57785-2358
Phone
(605) 720-2400
Fax
(605) 720-2611
NPI assigned
Mar 1, 2006
Last updated
Apr 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Mark Schulte
Title
President Sturgis Hospital
Phone
(605) 720-2411

Specialties & licenses 1

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

Addresses

Primary practice location

2140 Junction Ave
Sturgis, SD 57785-2358

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 720-2400

Other names 1

  • Monument Health Sturgis Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000132 SD Part A Provider - Critical Access Hospital 5991616427 Practice locations: Sturgis, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497722136. Details of each certification follow.

Hospital certification: CCN 43Z321

Legal name
MONUMENT HEALTH NETWORK INC
Doing business as
MONUMENT HEALTH STURGIS HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jan 14, 1981 in SD
Enrollment address
2140 Junction Ave
Sturgis, SD 57785-2358
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 11

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

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Center M44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
John D Williams Individual Corporate DirectorDirector Aug 4, 2023
Ruta P Davidson Individual Corporate DirectorBoard Member Aug 18, 2018
W-2 Managing EmployeePresident&Ceo Aug 18, 2018
Operational/Managerial ControlPresident&Ceo Aug 18, 2018
Thomas S Worsley Individual Corporate DirectorBoard Member Mar 1, 2018
W-2 Managing EmployeePresident Mar 1, 2018 50%
Operational/Managerial ControlPresident Mar 1, 2018 50%
Kenneth Meirose Individual Corporate Director Aug 26, 2021
Austin M Willuweit Individual Corporate OfficerChief Executive Officer Jan 9, 2024
W-2 Managing EmployeeCfo Jan 9, 2024 75%
Operational/Managerial ControlCfo Jan 9, 2024 75%
Mark C Schmidt Individual W-2 Managing EmployeePresident - Sturgis Market Jun 1, 2015 50%
Operational/Managerial ControlPresident - Sturgis Market Jun 1, 2015 50%
Monument Health Inc Organization, Rapid City, SD Corporation, Non-profit Operational/Managerial Control Jul 1, 2005 100%
Charles Alan Lewis Individual Corporate Director Jul 1, 2022
Kathryn Johnson Individual Corporate DirectorBoard Member Jul 1, 2020
Heather a Brewer Individual Corporate DirectorBoard Member Jul 1, 2020
Jason L Knudson Individual Corporate DirectorBoard Member Jul 1, 2021
Dan Leikvold Individual Corporate DirectorBoard Member Jul 1, 2020

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hans P Peterson Memorial HospitalPhilip, SD, CCN 431319 Hospital Operational/Managerial Control Oct 1, 2011
Hans P Peterson Memorial HospitalPhilip, SD, CCN 43Z319 Hospital Operational/Managerial Control Jan 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 6

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": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1497722136",
    "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": "605-720-2400",
            "fax_number": "605-720-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 JUNCTION AVE",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852358",
            "telephone_number": "605-720-2400",
            "fax_number": "605-720-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT STURGIS HOSPITAL",
        "authorized_official_telephone_number": "605-720-2411"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Health Sturgis Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sturgis, SD

Sources for this page

Verify at the official NPI Registry.