Healthcare Provider Details

I. General information

NPI: 1770502460
Provider Name (Legal Business Name): MONUMENT HEALTH NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 JUNCTION AVENUE
STURGIS SD
57785-2358
US

IV. Provider business mailing address

PO BOX 860013
MINNEAPOLIS MN
55486-0013
US

V. Phone/Fax

Practice location:
  • Phone: 605-720-2600
  • Fax: 605-720-2611
Mailing address:
  • Phone: 605-720-2600
  • Fax: 605-720-2611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number10567
License Number StateSD

VIII. Authorized Official

Name: MARK SCHULTE
Title or Position: PRESIDENT STURGIS HOSPITAL
Credential:
Phone: 605-720-2411