Monument Health Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MONUMENT HEALTH DIALYSIS LLC

Practice address

132 Yankee St
Spearfish, SD 57783-2948

Phone

(605) 722-8110

Fax

(605) 722-8111

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Monument Health Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rapid City, SD
  • NPI 1851118590

  7113451584

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Monument Health Dialysis Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Monument Health Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rapid City, SD
  • NPI 1851118590
  NPD tax ID
• Monument Health Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Nashville, TN
  • NPI 1689401564
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Rapid City Regional Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Rapid City, SD
  • NPI 1033273818

  Member Of

  NPD member
• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Nashville, TN
  • NPI 1871526350

  Member Of

  NPD member

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1972320612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032948",
            "telephone_number": "615-342-0498",
            "fax_number": "615-963-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 YANKEE ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832948",
            "telephone_number": "605-722-8110",
            "fax_number": "605-722-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT HEALTH DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R. Dana, DDS, PC (Dana Dental Arts)
• Michael S Richey, OD PC (Spearfish Eye Care Center)
• Tyler Joseph Miller, MSN
• Christopher Milnes, M.D.
• Rachel Mitchell
• Monument Health Home Plus, LLC (Monument Health Home Plus Pharmacy)
• Monument Health Home Plus, LLC (Monument Health Home Plus Hospice)
• Monument Health Home Plus, LLC (Monument Health Home Plus Home Medical Equipment)
• Monument Health Home Plus, LLC (Monument Health Home Plus Home Health)
• Monument Health Network, Inc (Community Health Workers Program, Network)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Spearfish, SD
• Providers in Spearfish, SD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.