NPIMap

Organization Active NPI

Bennett County Rural Health Clinic

  • Rural Health Clinic/Center
  • Martin, SD
National Provider Identifier
1770958837
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BENNETT COUNTY RURAL HEALTH CLINIC
Practice address
102 Major Allen St
Martin, SD 57551-6005
Phone
(605) 685-1660
Fax
(605) 685-1166
NPI assigned
Dec 1, 2015
Organization subpart
Yes
Parent organization
BENNETT COUNTY HOSPITAL AND NURSING HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Michael Christensen
Title
Ceo
Phone
(605) 685-6622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Critical Access Hospital 282NC0060X 10549 SD

Addresses

Primary practice location

102 Major Allen St
Martin, SD 57551-6005

Mailing address

PO Box 40
Martin, SD 57551-0040
Phone (605) 685-1660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000369 SD Part B Supplier - Clinic/Group Practice 9234194960 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Martin, SD

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Bennett County Hospital and

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1770958837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575510040",
            "telephone_number": "605-685-1660",
            "fax_number": "605-685-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAJOR ALLEN ST",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575516005",
            "telephone_number": "605-685-1660",
            "fax_number": "605-685-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT COUNTY RURAL HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENNETT COUNTY HOSPITAL AND NURSING HOME",
        "enumeration_date": "2015-12-01",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-685-6622"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "SD",
            "license": "10549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.