Monument Health Network, Inc.
Organization Active NPI Physical Therapist · Custer, SD
NPI 1922416320 · NPPES record last updated Oct 9, 2022
Key facts
- NPI
- 1922416320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- MONUMENT HEALTH NETWORK, INC.
- Practice address
- 1220 Montgomery St
Custer, SD 57730-1705 - Phone
- (605) 673-2229
- Fax
- (605) 673-3586
- NPI assigned
- Jul 29, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- MONUMENT HEALTH NETWORK. INC.
Authorized official
- Name
- Thomas Worsley
- Title
- President Hills Market
- Phone
- (605) 644-4091
Corporate family (same tax ID) 43
National Provider Directory
- Tax ID family
- Family Medical Center M
- Part of
- Family Medical Center M
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47660 | Other | SD | HOSPITAL LICENSE |
Other names
- Monument Health Birth To Three
Other providers in Custer, SD
- Monument Health Network, Inc
- Monument Health Network, Inc
- Monument Health Network, Inc.
- Monument Health Network, Inc.
- Monument Health Network, Inc.
- Monument Health Network. Inc.
- New Trails Ministry
- Ann Parsells
- Nancy Nicole Peterson
- Pamela Marie Peterson
All providers in Custer, SD · Physical Therapist 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 Oct 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.