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
1	314000000X	Skilled Nursing Facility	10610	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	85032	OTHER	SD	WELLMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	85032	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1386640126
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	:	605-717-6020
Fax Number	:	605-755-0694

Provider Business Practice Location Address
First Line	:	1065 MONTGOMERY ST
Second Line	:
City	:	CUSTER
State	:	SD
Zip	:	57730-1304
Country	:	US
Telephone Number	:	605-673-2237
Fax Number	:	605-673-3593

Authorized Official
Title or Position	:	PRESIDENT CUSTER LD-DWD MARKETS
Name	:	MARK SCHMIDT
Credential	:
Telephone Number	:	605-717-6020

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	03/16/2020

Similar Medicare Providers

1326028937 — GLORIA D WALZ CNP
Practice Location Address:

1041 MONTGOMERY STREET
CUSTER, SD
57730-1304

Practice Phone: 605-673-4150
Practice Fax: 605-673-3917

1063465995 — TERRY M GRABER MD
Practice Location Address:

1041 MONTGOMERY STREET
CUSTER, SD
57730-1304

Practice Phone: 605-673-4150
Practice Fax: 605-673-3917

1295789873 — JOY M FALKENBURG MD
Practice Location Address:

1041 MONTGOMERY STREET
CUSTER, SD
57730-1304

Practice Phone: 605-673-4150
Practice Fax: 605-673-3917

1831136969 — JEANETTE L HOFFMAN CNP
Practice Location Address:

1041 MONTGOMERY ST
CUSTER, SD
57730-1304

Practice Phone: 605-673-4150
Practice Fax:

1609812601 — REGIONAL HEALTH PHYSICIANS INC
Practice Location Address:

1041 MONTGOMERY ST
CUSTER, SD
57730-1304

Practice Phone: 605-673-4150
Practice Fax:

1558459073 — REGIONAL HEALTH NETWORK INC
Practice Location Address:

1039 MONTGOMERY ST
CUSTER, SD
57730-1304

Practice Phone: 605-673-2229
Practice Fax:

Directions to “MONUMENT HEALTH NETWORK. INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.