NPIMap

Organization Active NPI

Pioneer Memorial Hospital & Health Services

Doing business as Centerville Medical Clinic

  • Clinic/Center
  • Centerville, SD
National Provider Identifier
1619540309
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
Doing business as
Centerville Medical Clinic
Practice address
513 Broadway St
Centerville, SD 57014-2236
Phone
(605) 563-2411
Fax
(605) 563-2060
NPI assigned
Jul 20, 2021
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Tonya Rudd
Title
Clinic Director
Phone
(605) 326-3045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

513 Broadway St
Centerville, SD 57014-2236

Mailing address

513 Broadway St
Centerville, SD 57014-2236
Phone (605) 563-2411

Other names 1

  • Centerville Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Memorial Hospital10 organizations share this tax ID, including this one
Part of
Pioneer Memorial Hospital

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1619540309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROADWAY ST",
            "city": "CENTERVILLE",
            "state": "SD",
            "postal_code": "570142236",
            "telephone_number": "605-563-2411",
            "fax_number": "605-563-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROADWAY ST",
            "city": "CENTERVILLE",
            "state": "SD",
            "postal_code": "570142236",
            "telephone_number": "605-563-2411",
            "fax_number": "605-563-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "605-326-3045"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerville Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.