NPIMap

Monument Health Network, Inc.

Organization Active NPI Registered Dietitian · Spearfish, SD

NPI 1922453075 · NPPES record last updated Feb 17, 2022

Key facts

NPI
1922453075
Entity type
Organization (NPI type 2)
Primary specialty
Registered Dietitian 133V00000X
License
214518 (SD)
Legal business name
MONUMENT HEALTH NETWORK, INC.
Practice address
1420 N 10TH St
Spearfish, SD 57783
Phone
(605) 747-8595
NPI assigned
Apr 26, 2016
Organization subpart
Yes
Parent organization (as reported)
MONUMENT HEALTH NETWORK, INC.

Authorized official

Name
Thomas S Worsley
Title
President Spearfish Hospital
Phone
(605) 644-4091

Corporate family (same tax ID) 43

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

View all 43

National Provider Directory

Tax ID family
Family Medical Center M (44 organizations share this tax ID)
Part of
Family Medical Center M

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP		 133V00000X 214518 SD Yes

Addresses

Primary practice location

1420 N 10TH St
Spearfish, SD 57783

Mailing address

PO Box 860013
Minneapolis, MN 55486-0013
Phone (605) 717-8595

Other identifiers

IdentifierTypeStateIssuer
214518OtherSDDIABETES EDUCATION RECOGNITION PROGRAM

Other names

  • Monument Health Spearfish Clinic, North 10th Street Doing business as

Other providers in Spearfish, SD

All providers in Spearfish, SD · Registered Dietitian in South Dakota

Sources for this page

Verify at the official NPI Registry.