NPIMap

Organization Active NPI

City of Redfield

Doing business as Community Memorial Hospital

  • Critical Access Hospital
  • Redfield, SD
National Provider Identifier
1871565853
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
CITY OF REDFIELD
Doing business as
Community Memorial Hospital
Practice address
111 W 10TH Ave
Redfield, SD 57469-1519
Phone
(605) 472-1110
Fax
(605) 472-0331
NPI assigned
Feb 3, 2006
Last updated
May 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Karen E. Sjurseth
Title
Ceo Administrator
Phone
(605) 472-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

111 W 10TH Ave
Redfield, SD 57469-1519

Mailing address

PO Box 420
Redfield, SD 57469-0420
Phone (605) 472-1110

Other identifiers 1

IdentifierTypeStateIssuer
5500340MedicaidSD

Other names 1

  • Community Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100818000705 SD Part A Provider - Critical Access Hospital 5698757631 Receives reassigned benefits from 20 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Redfield, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871565853. Details of each certification follow.

Hospital certification: CCN 431316

Legal name
CITY OF REDFIELD
Doing business as
COMMUNITY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2000
Last certification
May 22, 2025
Beds
25
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
111 W 10TH Ave
Redfield, SD 57469-1519

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Community Memorial HospitalCCN 431316 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Community Memorial Hosp11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

111 W 10th Ave
Redfield, SD 57469
Phone (605) 472-1110

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Randall Maddox Individual Corporate Director Aug 15, 2019
Willard Schwartz Individual Corporate Director May 4, 2020
Joseph C Morrissette Individual Corporate DirectorBoard Member May 4, 2020
City of Redfield Organization, Redfield, SD 5% Or Greater Direct Ownership Interest Nov 28, 1966 100%
Eric Schueth Individual Corporate DirectorBoard Member Jul 20, 2020
Lynn Brace Individual Corporate DirectorBoard Member Jun 15, 2020
Kristine K Wren Individual Corporate DirectorBoard Member Jul 20, 2020
Joseph Lutter Individual Corporate DirectorBoard Member Jun 15, 2020
Karen Sjurseth Individual Corporate OfficerCeo Jan 1, 2021
Corporate DirectorCeo Jan 1, 2021
W-2 Managing EmployeeCeo Jan 1, 2021

Owners & managing parties with NPI records 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 60

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1871565853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574690420",
            "telephone_number": "605-472-1110",
            "fax_number": "605-472-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 10TH AVE",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691519",
            "telephone_number": "605-472-1110",
            "fax_number": "605-472-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF REDFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "SJURSETH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "605-472-1110"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5500340",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redfield, SD

Sources for this page

Verify at the official NPI Registry.