NPIMap

Organization Active NPI

Regional Health Network Inc

Doing business as Custer Regional Clinic

  • Family Medicine Physician
  • Custer, SD
National Provider Identifier
1639403843
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGIONAL HEALTH NETWORK INC
Doing business as
Custer Regional Clinic
Practice address
1041 Montgomery St
Custer, SD 57730-1304
Phone
(605) 673-4150
NPI assigned
Sep 22, 2009
Organization subpart
Yes
Parent organization
REGIONAL HEALTH NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Timothy H Sughrue
Title
Coo-RCRH Executive Management
Phone
(605) 719-8162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1041 Montgomery St
Custer, SD 57730-1304

Mailing address

PO Box 3450
Rapid City, SD 57709-3450
Phone (605) 673-4150

Other names 1

  • CUSTER REGIONAL CLINIC Doing business as

National Provider Directory

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

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1639403843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3450",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577093450",
            "telephone_number": "605-673-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 MONTGOMERY ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301304",
            "telephone_number": "605-673-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH NETWORK INC",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "SUGHRUE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "COO-RCRH EXECUTIVE MANAGEMENT",
        "authorized_official_telephone_number": "605-719-8162"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUSTER REGIONAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Custer, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.