NPIMap

Organization Active NPI

Pioneer Memorial Hospital & Health Services

Doing business as Viborg Medical Clinic

  • Rural Health Clinic/Center
  • Viborg, SD
National Provider Identifier
1619926706
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
Doing business as
Viborg Medical Clinic
Practice address
103 W Pioneer
Viborg, SD 57070-0337
Phone
(605) 326-5201
Fax
(605) 326-5196
NPI assigned
May 8, 2006
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Isaac Gerdes
Title
Chief Executive Officer
Phone
(605) 326-5161

Specialties & licenses 1

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

Addresses

Primary practice location

103 W Pioneer
Viborg, SD 57070-0337

Mailing address

PO Box 368
Viborg, SD 57070-0368
Phone (605) 326-5201

Other identifiers 1

IdentifierTypeStateIssuer
5345000MedicaidSD

Other names 1

  • Viborg Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031111000252 SD Part B Supplier - Clinic/Group Practice 9234042755 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
Practice locations: Viborg, SD
O20100724000319 SD Part A Provider - Rural Health Clinic 9234042755 Practice locations: Viborg, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619926706. Details of each certification follow.

Rural health clinic certification: CCN 433993

Legal name
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
Doing business as
VIBORG MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 28, 1995
Last certification
Jun 19, 2019
Ownership / control type
1B
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1996 in SD
Enrollment address
103 W Pioneer
Viborg, SD 57070
Related CCNs
431328

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

345 W Steamboat Dr
#2
Dakota Dunes, SD 57049
Phone (712) 233-2487

2701 S Spring Ave
Sioux Falls, SD 57105
Phone (605) 334-1944

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Troy Lee Individual Corporate Director Mar 1, 2016
Anne Marie Christiansen Individual Corporate Director May 27, 2010
W-2 Managing Employee May 27, 2010
Paul D Christensen Individual Corporate Director May 27, 2010
Kimberly Larsen Individual Corporate Director Mar 1, 2018
Melanie L Parsons Individual Corporate Director May 27, 2010
Tonya Rudd Individual Corporate Director Jul 6, 2018
W-2 Managing Employee Jul 6, 2018
Pioneer Memorial Hospital & Health Services Organization, Viborg, SD 5% Or Greater Direct Ownership Interest May 27, 2010
Lindsey Hauger Individual Corporate Director May 1, 2020
W-2 Managing Employee May 1, 2020

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Pioneer Memorial HospitalViborg, SD, CCN 431328 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 1959
Pioneer Memorial Hospital & Health ServicesViborg, SD, CCN 43Z328 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Pioneer Memorial Nursing HomeViborg, SD, CCN 435120 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 1, 2004
Dec 10, 2024
Dec 17, 2024
Parker Medical ClinicParker, SD, CCN 433427 Rural health clinic 5% Or Greater Direct Ownership Interest May 27, 2010
Centerville Medical ClinicCenterville, SD, CCN 433428 Rural health clinic 5% Or Greater Direct Ownership Interest May 27, 2010

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1619926706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570700368",
            "telephone_number": "605-326-5201",
            "fax_number": "605-326-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W PIONEER",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570700337",
            "telephone_number": "605-326-5201",
            "fax_number": "605-326-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "605-326-5161"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5345000",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viborg Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Viborg Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Viborg, SD

Sources for this page

Verify at the official NPI Registry.