MEDICARE: MONUMENT HEALTH RAPID CITY HOSPITAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1144184482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONUMENT HEALTH RAPID CITY HOSPITAL INC

Provider Business Mailing Address
First Line	:	PO BOX 860013
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55486-0013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	677 CATHEDRAL DR STE 302
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-7389
Country	:	US
Telephone Number	:	605-755-8105
Fax Number	:	605-755-0707

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	AUSTIN WILLUWEIT
Credential	:
Telephone Number	:	605-755-8890

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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