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General NPI Number Information
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NPI Number | 1659750578
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Entity Type | Organization
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Legal Business Name | MONUMENT HEALTH NETWORK, INC.
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 1121 WASHINGTON BLVD
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City | NEWCASTLE
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State | WY
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Zip | 82701-2968
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Country | US
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Telephone | 307-746-6720
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Fax | 605-718-7082
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Provider Business Mailing Address
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Address Line | PO BOX 860013
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0013
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Country | US
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Telephone | 307-746-6720
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Fax | 605-718-7082
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Authorized Official
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Title or Position | PRESIDENT SPEARFISH HOSPITAL
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Name | THOMAS WORSLEY
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Credential |
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Telephone | 605-644-4091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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