MEDICARE: MONUMENT HEALTH RAPID CITY HOSPITAL, 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
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1306225222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONUMENT HEALTH RAPID CITY HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	PO BOX 860013
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55486-0013
Country	:	US
Telephone Number	:	605-755-2273
Fax Number	:	605-755-3902

Provider Business Practice Location Address
First Line	:	2116 JACKSON BLVD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-3495
Country	:	US
Telephone Number	:	605-755-2273
Fax Number	:	605-755-3902

Authorized Official
Title or Position	:	PRESIDENT MONUMENT HEALTH
Name	:	JOHN PIERCE
Credential	:
Telephone Number	:	605-755-8162

Provider Enumeration Date	:	05/26/2015
Last Update Date	:	03/31/2020

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