Monument Health Network, Inc.
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Sturgis, SD
NPI 1497722136 · NPPES record last updated Apr 20, 2020
Key facts
- NPI
- 1497722136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- MONUMENT HEALTH NETWORK, INC.
- Practice address
- 2140 Junction Ave
Sturgis, SD 57785-2358 - Phone
- (605) 720-2400
- Fax
- (605) 720-2611
- NPI assigned
- Mar 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mark Schulte
- Title
- President Sturgis Hospital
- Phone
- (605) 720-2411
Owners & managing parties with NPI records 3
-
Heather A Brewer, MD
-
Jason Knudson, MD
-
Charles Lewis, DO
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 43
Related certifications (CCN) 2
Facilities with the same owner 15
Practitioners 163
-
Joy Anna Mueller, M.D.
-
Heather Lynn Adolph, CRNA
-
Darbi Lee Anderson, CNP
-
Wesley Reid Badger, M.D.
-
Larissa Felicia Beltman, AU.D
-
Daniel Berens, DO
-
Jay D Bogard, MD
-
Heather A Brewer, MD
-
Wesley W Broeder, PA-C
-
Lisa B Brown, MD
-
Cora Mackenzie Bush, PA-C
-
Lauren Buyan, DO
-
Denise L Byrd, AUD
-
Justin Cassels, CRNA
-
Sandra D Clooten, CNP
-
Victoria Lee Collins, FNP-BC
Affiliated clinicians 6
-
Sarah Jane Lewis, DO
-
Joy Anna Mueller, M.D.
-
Kent Douglas Wright, M.D.
-
Michael J Jensen, P.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Hospital certification: CCN 43Z321
- Legal name
- MONUMENT HEALTH NETWORK INC
- Doing business as
- MONUMENT HEALTH STURGIS HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 14, 1981 in SD
- Enrollment address
- 2140 Junction Ave
Sturgis, SD 57785-2358
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| John D Williams |
Corporate Director |
Aug 4, 2023 | |
| Ruta P Davidson |
Corporate Director |
Aug 18, 2018 | |
| W-2 Managing Employee |
Aug 18, 2018 | ||
| Operational/Managerial Control |
Aug 18, 2018 | ||
| Thomas S Worsley |
Corporate Director |
Mar 1, 2018 | |
| W-2 Managing Employee |
Mar 1, 2018 | 50% | |
| Operational/Managerial Control |
Mar 1, 2018 | 50% | |
| Kenneth Meirose |
Corporate Director | Aug 26, 2021 | |
| Austin M Willuweit |
Corporate Officer |
Jan 9, 2024 | |
| W-2 Managing Employee |
Jan 9, 2024 | 75% | |
| Operational/Managerial Control |
Jan 9, 2024 | 75% | |
| Mark C Schmidt |
W-2 Managing Employee |
Jun 1, 2015 | 50% |
| Operational/Managerial Control |
Jun 1, 2015 | 50% | |
| Monument Health Inc |
Operational/Managerial Control | Jul 1, 2005 | 100% |
| Charles Alan Lewis |
Corporate Director | Jul 1, 2022 | |
| Kathryn Johnson |
Corporate Director |
Jul 1, 2020 | |
| Heather a Brewer |
Corporate Director |
Jul 1, 2020 | |
| Jason L Knudson |
Corporate Director |
Jul 1, 2021 | |
| Dan Leikvold |
Corporate Director |
Jul 1, 2020 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Hans P Peterson Memorial Hospital |
Hospital | Operational/Managerial Control | Oct 1, 2011 |
| Hans P Peterson Memorial Hospital |
Hospital | Operational/Managerial Control | Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070131000132 | SD | Part a Provider - Critical Access Hospital | 5991616427 | Practice locations: Sturgis, SD |
National Provider Directory
- Tax ID family
- Family Medical Center M
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0159623 | Medicaid | SD |
Other names
- Monument Health Sturgis Hospital
Other providers in Sturgis, SD
- Emily A Meyer
- Jeanie Marie Montgomery
- Monument Health Home Plus, LLC
- Monument Health Network, Inc.
- Monument Health Network, Inc.
- Monument Health Network, Inc.
- Monument Health Network, Inc.
- Monument Health Network, Inc.
- Monument Health Network, Inc.
- Jennifer Marie Morrison
All providers in Sturgis, SD · Medicare Defined Swing Bed Hospital Unit 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 Apr 20, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.