NPIMap

Organization Active NPI

City of Redfield

Doing business as Redfield Clinic

  • Rural Health Clinic/Center
  • Redfield, SD
National Provider Identifier
1972575173
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CITY OF REDFIELD
Doing business as
Redfield Clinic
Practice address
1010 W 1St St
Redfield, SD 57469-1506
Phone
(605) 472-0510
Fax
(605) 472-0331
NPI assigned
Feb 2, 2006
Last updated
May 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Karen E Sjurseth
Title
Ceo Administrator
Phone
(605) 472-1110

Specialties & licenses 1

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

Addresses

Primary practice location

1010 W 1St St
Redfield, SD 57469-1506

Mailing address

PO Box 590
Redfield, SD 57469-0590
Phone (605) 472-0510

Other names 1

  • Redfield 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
O20040603000919 SD Part B Supplier - Clinic/Group Practice 5698757631 Receives reassigned benefits from 24 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Doland, SD; Redfield, SD
O20100721000315 SD Part A Provider - Rural Health Clinic 5698757631 Practice locations: Redfield, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972575173. Details of each certification follow.

Rural health clinic certification: CCN 433404

Legal name
CITY OF REDFIELD
Doing business as
REDFIELD CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2000
Last certification
Aug 21, 2018
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
1010 W 1St St
Redfield, SD 57469-1502
Related CCNs
431316

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
Randall Maddox Individual Corporate DirectorBoard Member Aug 15, 2019
Willard Schwartz Individual Corporate DirectorBoard Member May 4, 2020
Joseph C Morrissette Individual Corporate DirectorBoard Member May 4, 2020
City of Redfield Organization, Redfield, SD 5% Or Greater Direct Ownership Interest Apr 14, 2010
Eric Schueth Individual Corporate DirectorBoard Member Jul 20, 2020
Lynn Brace Individual Corporate DirectorBoard Member Jun 15, 2020
Kristine K Wren Individual Corporate DirectorBoard Member Jul 20, 2020
Joseph Lutter Individual Corporate DirectorBoard Member Jun 15, 2020
Karen Sjurseth Individual Corporate OfficerCeo Jan 1, 2021 100%
W-2 Managing EmployeeCeo Jan 1, 2021 100%

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Memorial HospitalRedfield, SD, CCN 431316 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 28, 1966
Community Memorial HospitalRedfield, SD, CCN 43Z316 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Community Memorial HospitalRedfield, SD, CCN 437055 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • City of Redfield

    dba Community Memorial Hospital

    • Critical Access Hospital
    • Redfield, SD
    • NPI 1144292244

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Redfield

    dba Community Memorial Hospital

    • Home Health Agency
    • Redfield, SD
    • NPI 1477525517

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Redfield

    dba Community Memorial Hospital

    • Critical Access Hospital
    • Redfield, SD
    • NPI 1548232747

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Redfield

    dba Community Memorial Hospital

    • Critical Access Hospital
    • Redfield, SD
    • NPI 1871565853

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • City of Redfield

    dba Community Memorial Hospital

    • Ambulance
    • Redfield, SD
    • NPI 1881666444

    5% Or Greater Direct Ownership Interest

    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 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1972575173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574690590",
            "telephone_number": "605-472-0510",
            "fax_number": "605-472-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W 1ST ST",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691506",
            "telephone_number": "605-472-0510",
            "fax_number": "605-472-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF REDFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "SJURSETH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "605-472-1110"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redfield Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redfield Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redfield, SD

Sources for this page

Verify at the official NPI Registry.