NPIMap

Organization Active NPI

Monument Health Network, Inc.

Doing business as Monument Health Custer Clinic

  • Medical Specialty Clinic/Center
  • Custer, SD
National Provider Identifier
1801273537
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MONUMENT HEALTH NETWORK, INC.
Doing business as
Monument Health Custer Clinic
Practice address
1220 Montgomery St
Custer, SD 57730-1705
Phone
(605) 673-9400
Fax
(605) 755-0694
NPI assigned
May 1, 2015
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MONUMENT HEALTH NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Mark C Schmidt
Title
President Custer LDWD Market
Phone
(605) 755-8094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

1220 Montgomery St
Custer, SD 57730-1705

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 755-7649

Other identifiers 2

IdentifierTypeStateIssuer
1801273537OtherSDNPI NUMBER
214518OtherSDADCES

Other names 1

  • Monument Health Custer Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Black Hills Medical Cli44 organizations share this tax ID, including this one
Part of
Black Hills Medical Cli

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": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1801273537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860013",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860013",
            "telephone_number": "605-755-7649",
            "fax_number": "605-755-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MONTGOMERY ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301705",
            "telephone_number": "605-673-9400",
            "fax_number": "605-755-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONUMENT HEALTH NETWORK, INC.",
        "enumeration_date": "2015-05-01",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT CUSTER LDWD MARKET",
        "authorized_official_telephone_number": "605-755-8094"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1801273537",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADCES",
            "identifier": "214518",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Health Custer 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 Feb 17, 2022; 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.