MONUMENT HEALTH NETWORK, INC. (NPI# 1174590806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174590806 |
| Entity Type | Organization |
| Organization Name | MONUMENT HEALTH NETWORK, INC. |
| Other Organization Name | MONUMENT HEALTH LEAD-DEADWOOD HOSPITAL |
| Practice Address |
61 Charles St Deadwood SD 57732-1303 |
| Mailing Address |
Po Box 860013 Minneapolis MN 55486-0013 |
| Practice Telephone | 6057176000 |
| Practice Fax Number | 6057176008 |
| Mailing Telephone | 6057176000 |
| Mailing Fax Number | 6057176008 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | MARK C SCHMIDT (PRESIDENT CUSTER LD-DWD HOSPITAL) |
| Authorized Official Telephone | 6057176020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | 10535 | SD | Transportation Services |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
10535 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5500040 | 05 | |
| SD | 0100040 | 05 |
| Other Name | Type Code |
|---|---|
| Monument Health Lead-Deadwood Hospital | Doing Business As Name - Organization |
| Regional Health Lead-Deadwood Hosptial | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073992004 | Monument Health Network, Inc. | Family Medicine | 209 Ramsland St, Buffalo, SD 57720-0045 | 2015-05-22 |
| 1770502460 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Avenue, Sturgis, SD 57785-2358 | 2006-07-19 |
| 1174569347 | Monument Health Network, Inc. | Clinic/Center | 1440 N Main Street, Spearfish, SD 57783-1505 | 2006-06-22 |
| 1083681712 | Monument Health Network, Inc. | General Acute Care Hospital | 2140 Junction Ave, Sturgis, SD 57785-2079 | 2006-03-01 |
| 1205803160 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1220 Montgomery St, Custer, SD 57730-1705 | 2006-02-28 |
| 1861466898 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1440 N Main St, Spearfish, SD 57783-1505 | 2006-02-15 |
| 1760998983 | Monument Health Network, Inc. | General Acute Care Hospital | 2140 Junction Ave, Sturgis, SD 57785-2079 | 2017-12-26 |
| 1841706686 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2017-12-15 |
| 1588185268 | Monument Health Network, Inc. | Clinic/Center | 1100 Highway 71 S Ste 101, Hot Springs, SD 57747-8801 | 2017-07-03 |
| 1215458211 | Monument Health Network, Inc. | Clinic/Center | 1100 Highway 71 S Ste 101, Hot Springs, SD 57747-8801 | 2017-06-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MONUMENT HEALTH NETWORK, INC | 353 Fairmont Blvd, Rapid City, SD 57701-7375 |
| Street Address |
61 CHARLES ST |
| City | DEADWOOD |
| State | SD |
| Zip Code | 57732-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164907598 | Regional Health Network, Inc. | Clinical Medical Laboratory | 61 Charles St, Deadwood, SD 57732-1303 | 2018-10-02 |
| 1225544869 | Jim Hermeling | Occupational Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2017-12-19 |
| 1003344789 | Brett M Johnson | Physician Assistant | 61 Charles St, Deadwood, SD 57732-1303 | 2017-05-25 |
| 1619383916 | Urszula Eisner | Physical Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2014-07-08 |
| 1902210917 | Jenna Lampe | Occupational Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2014-06-17 |
| 1275945222 | Regional Health Network Inc. | Home Delivered Meals | 61 Charles St, Deadwood, SD 57732-1303 | 2014-05-27 |
| 1265778328 | Nicholas Liming | Physical Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2012-12-18 |
| 1720214737 | Regional Health Network Inc | Dietitian, Registered | 61 Charles St, Deadwood, SD 57732-1303 | 2009-06-04 |
| 1376769018 | Chad R. Scholten | Pharmacist | 61 Charles St, Deadwood, SD 57732-1303 | 2007-04-18 |
| 1922162080 | Moon Shadow Jarvis Hemeyer | Physical Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699297408 | Megan Quinn | Physical Therapist | 61 Charles Street, Regional Health Lead-deadwood Hospital, Deadwood, SD 57732 | 2017-07-13 |
| 1093718769 | Elizabeth J Sayler | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-24 |
| 1124563655 | Regional Health Network Inc. | Dietitian, Registered | 71 Charles St, Deadwood, SD 57732 | 2016-12-19 |
| 1144506593 | Ashley Johnson | Pharmacist | 71 Charles Street, Deadwood, SD 57732 | 2011-10-31 |
| 1154471282 | Peggy L Hubbard | Physician Assistant | 71 Charles St, Deadwood, SD 57732 | 2007-01-11 |
| 1376611012 | Joe Ping Chang | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2006-12-01 |
| 1346243813 | James T Holloway | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-27 |
| 1942203419 | Thomas J Groeger | Family Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-27 |
| 1598768251 | Karen S Tjaden | Family Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-24 |
| 1699825190 | Larry Douglas Anderson | Dentist | 11736 Impressive View Drive, Deadwood, SD 57732-0154 | 2007-01-10 |
| Find all providers in zip 57732 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1538233549 | Winner Regional Healthcare Center | General Acute Care Hospital | 745 E 8th St, Winner, SD 57580-2677 | 2006-11-20 |
| 1013002286 | Eureka Community & Benevolent Hospital | General Acute Care Hospital | 200 J Ave, Eureka, SD 57437 | 2006-10-04 |
| 1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1295747608 | Avera Mckennan | General Acute Care Hospital | 214 N Prairie St, Flandreau, SD 57028-1243 | 2006-08-13 |
| 1790791366 | Fall River Health Services | General Acute Care Hospital | 1201 Highway 71 South, Hot Springs, SD 57747-1374 | 2006-08-01 |
| 1275562027 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-1302 | 2006-07-02 |
| 1154350064 | Avera Mckennan | General Acute Care Hospital | 909 North Iowa Ave, Dell Rapids, SD 57022-1231 | 2006-07-02 |
| 1669418877 | Bowdle Hospital | General Acute Care Hospital | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-06-22 |
| 1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MONUMENT HEALTH NETWORK, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.