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NPI Code Detail

MEDICARE: MONUMENT HEALTH NETWORK, INC.

MEDICARE: MONUMENT HEALTH NETWORK, 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
1261QR1300XRural Health Clinic/CenterSD

General Provider Information

NPI Number : 1265637003
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONUMENT HEALTH NETWORK, INC.
Provider Business Mailing Address
First Line : PO BOX 860013
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55486-0013
Country : US
Telephone Number : 605-574-4470
Fax Number :
Provider Business Practice Location Address
First Line : 238 ELM ST
Second Line :
City : HILL CITY
State : SD
Zip : 57745-8911
Country : US
Telephone Number : 605-574-4470
Fax Number : 605-574-2352
Authorized Official
Title or Position : PRESIDENT CUSTER LEAD-DWD HOSPITAL
Name : MARK C SCHMIDT
Credential :
Telephone Number : 605-717-6020
Provider Enumeration Date : 06/20/2007
Last Update Date : 04/20/2020

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