Healthcare Provider Details

I. General information

NPI: 1386022960
Provider Name (Legal Business Name): MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 E MONROE ST
RAPID CITY SD
57701-1400
US

IV. Provider business mailing address

PO BOX 860013
MINNEAPOLIS MN
55486-0013
US

V. Phone/Fax

Practice location:
  • Phone: 605-755-4060
  • Fax: 605-755-4012
Mailing address:
  • Phone: 605-719-4060
  • Fax: 605-755-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: JOHN PIERCE
Title or Position: MONUMENT HEALTH PRESIDENT
Credential:
Phone: 605-755-8162