Monument Health Rapid City Hospital, Inc
Organization Active NPI Medical Specialty Clinic/Center · Rapid City, SD
NPI 1700537933 · NPPES record last updated Aug 1, 2022
Key facts
- NPI
- 1700537933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- MONUMENT HEALTH RAPID CITY HOSPITAL, INC
- Practice address
- 640 Flormann St
Rapid City, SD 57701-4679 - Phone
- (605) 755-3300
- Fax
- (605) 755-3129
- NPI assigned
- Jan 10, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- MONUMENT HEALTH RAPID CITY HOSPITAL, INC
Authorized official
- Name
- John Y Pierce
- Title
- President Rapid City/Market
- Phone
- (605) 755-8162
Owned or controlled facilities with NPI records 8
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 24
Practitioners 562
-
Michael J Aanderud, PA-C
-
Kyle Alan Adams, D.O.
-
Shakeel Ahmed, MD
-
Danielle Rae Akason, PMHNP
-
Bayan Al Share, MD
-
Marc N Aldrich, MD
-
Fawzi Mohammad Ameer, M.D.
-
Megan Mae Anderson, CRNA
-
Ashley Anziano, PA-C
-
Doreen Aryee, MD
-
Justine Ashokar, PH.D.
-
Karmela L Bachman, PA-C
-
Anurag Bajaj, M.D.
-
Denise Marie Baragar, CNP
-
Christopher P. Barrozo, PA-C
-
Amanda Barry, CNP
-
Morgan Ashley Bates, RN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Same Day Surgery Center LLC |
Hospital | 5% Or Greater Direct Ownership Interest (40%) 5% Or Greater Mortgage Interest (100%) |
Nov 25, 1997 Jul 1, 2001 |
| Rehabilitation and Critical Care Hospital of the Black Hills |
Hospital | 5% Or Greater Indirect Ownership Interest (49%) | Jan 24, 2022 |
| Rehabilitation and Critical Care Hospital of the Black Hills |
Hospital | 5% Or Greater Indirect Ownership Interest (49%) | Jan 24, 2022 |
| Monument Health Care Center |
Skilled nursing facility | Adp of the SNF | Jul 1, 2005 |
| Monument Health Home Plus Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2016 |
| Monument Health Home Plus Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2016 |
| Monument Health Home Plus Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2016 |
| Monument Health Home Plus Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2016 |
| Kadoka Clinic |
Rural health clinic | Operational/Managerial Control | Apr 1, 1986 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220926002415 | SD | MDPP Supplier - in-Person MDPP Supplier | 6002729506 | Practice locations: Rapid City, SD |
National Provider Directory
- Tax ID family
- Massa Berry Clinic
- Part of
- Massa Berry Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
640 Flormann St
Rapid City, SD 57701-4679
Mailing address
PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 755-7649
Other practice location 1
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811366438 | Other | SD | NPI |
Other names
- Monument Health Diabetes Prevention Program
- Regional Health, Inc.
Other providers in Rapid City, SD
- Monument Health Rapid City Hospital Inc
- Monument Health Rapid City Hospital, Inc
- Monument Health Rapid City Hospital, Inc
- Monument Health Rapid City Hospital, Inc
- Monument Health Rapid City Hospital, Inc
- Monument Health Rapid City Hospital, Inc
- Monument Health Rapid City Hospital, Inc
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
- Monument Health Rapid City Hospital, Inc.
All providers in Rapid City, SD · Medical Specialty Clinic/Center 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 Aug 1, 2022. 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.