MONUMENT HEALTH NETWORK INC. NPI 1033597760

NPI Information

NPI: 1033597760
Provider Name: MONUMENT HEALTH NETWORK, INC.

Doing Business As: MONUMENT HEALTH LEAD-DEADWOOD CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
71 CHARLES ST
DEADWOOD, SD
ZIP 57732
Phone: (605) 717-6431
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MONUMENT HEALTH NETWORK, INC. is a multi-specialty clinic center in Deadwood, SD. MONUMENT HEALTH NETWORK, INC. NPI is 1033597760. The provider is registered as an organization entity type.
The provider Is Doing Business As Monument Health Lead-deadwood Clinic.

The provider's business location address is:

71 CHARLES ST
DEADWOOD, SD
ZIP 57732-303
Phone: (605) 717-6431
Fax: (605) 717-8033

The provider's authorized official is Mark C Schmidt .
The authorized official title is President Custer Ld-dwd Hospital and has the following contact phone number (605) 717-6020.

The enumeration date for this NPI number is 5/14/2015 and was last updated on 3/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty		SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10535	OTHER	SOUTH DAKOTA	SD LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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