Healthcare Provider Details

I. General information

NPI: 1952378671
Provider Name (Legal Business Name): MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 03/16/2020
Certification Date: 03/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 FAIRMONT BLVD STE A100
RAPID CITY SD
57701-6360
US

IV. Provider business mailing address

PO BOX 860013
MINNEAPOLIS MN
55486-0013
US

V. Phone/Fax

Practice location:
  • Phone: 605-719-1100
  • Fax: 605-755-7884
Mailing address:
  • Phone: 605-719-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

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