Rapid City Regional Hospital Inc
Organization Active NPI Community Based Hospice Care Agency · Rapid City, SD
NPI 1962479600 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1962479600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- RAPID CITY REGIONAL HOSPITAL INC
- Practice address
- 224 Elk Street
Rapid City, SD 57701-7359 - Phone
- (605) 719-1000
- Fax
- (605) 719-4499
- NPI assigned
- Mar 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Timothy Sughrue
- Title
- Ceo-RCRH Executive Management
- Phone
- (605) 719-8162
Other NPIs on the same Medicare enrollment 22
Change of ownership 1
Practitioners 18
-
Kyle L Bohling, CRNA
-
Candace R Fetzer, MD
-
Mary Ann Fredrickson, LCSW-PIP
-
Steven Alan Maser, M.D.
-
Prashant J Mehta, MD
-
William John Miner, M.D.
-
Mazen N Nemeh, MD
-
Rachal Pierce, AUD
-
Joseph L Tuma, MD
-
Oscar M Busso, MD
-
Dheeraj Dhotre, M.D.
-
Venkatram Nethala, M.D.
-
Joel M Post, D.O.
-
John Alvar Sundin, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Nov 1, 2016 | Change of Ownership |
Monument Health Home Plus Hospice |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070625000144 | SD | Part B Supplier - Clinic/Group Practice | 6002729506 |
Receives reassigned benefits from 883 practitioners 22 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wall, SD; Spearfish, SD; Rapid City, SD; Box Elder, SD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
224 Elk Street
Rapid City, SD 57701-7359
Mailing address
PO Box 3450
Rapid City, SD 57709-3450
Phone (605) 719-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9550002 | Medicaid | SD | |
| 81501 | Other | SD | WELLMARK |
Other providers in Rapid City, SD
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital Inc
- Rapid City Regional Hospital, Inc.
- Rapid City Regional Hospital, Inc.
- Rapid City Regional Hospital, Inc.
- Rapid City Regional Hospital, Inc.
- Rapid City Regional Hospital, Inc.
All providers in Rapid City, SD · Community Based Hospice Care Agency 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 Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.