NPIMap

Organization Active NPI

Marshall County Memorial Hospital

Doing business as Marshall County Medical CLinic

  • Rural Health Clinic/Center
  • Britton, SD
National Provider Identifier
1902280837
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARSHALL COUNTY MEMORIAL HOSPITAL
Doing business as
Marshall County Medical CLinic
Practice address
415 9TH St
Britton, SD 57430
Phone
(605) 448-5953
NPI assigned
Jul 9, 2015
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Patricia K Roehr
Title
Cfo
Phone
(605) 448-1125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

415 9TH St
Britton, SD 57430

Mailing address

415 9TH St
Britton, SD 57430-2274
Phone (605) 448-5953

Other names 1

  • Marshall County Medical CLinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150827003160 SD Part A Provider - Rural Health Clinic 2668567215 Practice locations: Britton, SD
O20151231002019 SD Part B Supplier - Clinic/Group Practice 2668567215 Receives reassigned benefits from 12 practitioners
Practice locations: Britton, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902280837. Details of each certification follow.

Rural health clinic certification: CCN 433441

Legal name
MARSHALL COUNTY MEMORIAL HOSPITAL
Doing business as
MARSHALL COUNTY HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 26, 2015
Last certification
Feb 14, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1984 in SD
Enrollment address
415 9TH St
Britton, SD 57430-2274
Related CCNs
431312

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

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

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
Matthew B Schuller Individual Corporate DirectorBoard of Trustee Member Jul 1, 2021
William J Richter Individual Corporate DirectorBoard of Trustee Member Jul 1, 2010
William K Haywood Individual Corporate DirectorBoard of Trustee Member Jul 1, 2014
Avera St Lukes Organization, Aberdeen, SD Corporation Operational/Managerial Control Apr 22, 2006
Erik S Peterson Individual W-2 Managing EmployeeCfo Jul 18, 2022
Roger John Furman Individual Corporate DirectorBoard of Trustee Member Oct 1, 2018
Ryan M Smith Individual Corporate DirectorBoard of Trustee Member Dec 1, 2017
Adrian L Heitmann Individual Corporate DirectorBoard of Trustee Member Jul 1, 2013
Nicholas J Fosness Individual W-2 Managing EmployeeCeo Feb 20, 2012

Owners & managing parties with NPI records 12

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

  • Avera St Luke's
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Aberdeen, SD
    • NPI 1649221664

    Operational/Managerial Control

    CMS ownership
  • Avera St Lukes
    • Psychiatric Hospital Unit
    • Aberdeen, SD
    • NPI 1003867029

    Operational/Managerial Control

    CMS ownership
  • Avera St Lukes

    dba Avera St Lukes Hospital Swingbed

    • Medicare Defined Swing Bed Hospital Unit
    • Aberdeen, SD
    • NPI 1013968940

    Operational/Managerial Control

    CMS ownership
  • Avera St Lukes

    dba Avera Mother Joseph Manor

    • Skilled Nursing Facility
    • Aberdeen, SD
    • NPI 1386693430

    Operational/Managerial Control

    CMS ownership
  • Avera St Lukes
    • General Acute Care Hospital
    • Aberdeen, SD
    • NPI 1457309270

    Operational/Managerial Control

    CMS ownership
  • Avera St Lukes

    dba Avera Plaza Pharmacy

    • Pharmacy
    • Aberdeen, SD
    • NPI 1801534045

    Operational/Managerial Control

    CMS ownership
  • Avera St. Luke's

    dba Avera Aberdeen Family Physicians

    • Family Medicine Physician
    • Aberdeen, SD
    • NPI 1013143296

    Operational/Managerial Control

    CMS ownership
  • Avera St. Luke's

    dba Avera Medical Group Orthopedic Surgery Specialists

    • Orthopaedic Surgery Physician
    • Aberdeen, SD
    • NPI 1124459391

    Operational/Managerial Control

    CMS ownership
  • Avera St. Luke's

    dba Avera Internal Medicine Aberdeen

    • Internal Medicine Physician
    • Aberdeen, SD
    • NPI 1215100813

    Operational/Managerial Control

    CMS ownership
  • Avera St. Luke's

    dba Avera Medical Group Radiology Aberdeen

    • Diagnostic Radiology Physician
    • Aberdeen, SD
    • NPI 1437192721

    Operational/Managerial Control

    CMS ownership
  • Avera St. Lukes

    dba Avera Eureka Health Care Center

    • Skilled Nursing Facility
    • Eureka, SD
    • NPI 1144206020

    Operational/Managerial Control

    CMS ownership
  • Avera St Lukes

    dba Avera Clinic of Ellendale

    • Rural Health Clinic/Center
    • Ellendale, ND
    • NPI 1760423057

    Operational/Managerial Control

    CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1902280837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 9TH ST",
            "city": "BRITTON",
            "state": "SD",
            "postal_code": "574302274",
            "telephone_number": "605-448-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 9TH ST",
            "city": "BRITTON",
            "state": "SD",
            "postal_code": "57430",
            "telephone_number": "605-448-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "ROEHR",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-448-1125"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall County Medical CLinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshall County Medical CLinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Britton, SD

Sources for this page

Verify at the official NPI Registry.