MONUMENT HEALTH LEAD-DEADWOOD CLINIC – NPI #1558740472
Clinic/Center

MONUMENT HEALTH LEAD-DEADWOOD CLINIC is an AHC clinic located in DEADWOOD, SD. NPPES has assigned the NPI number 1558740472 to MONUMENT HEALTH LEAD-DEADWOOD CLINIC on May 26, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MONUMENT HEALTH LEAD-DEADWOOD CLINIC” is a dba name, the actual legal business name for this organization is MONUMENT HEALTH NETWORK, INC.. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 6 years ago on Mar 31, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONUMENT HEALTH LEAD-DEADWOOD CLINIC below.

NPI Profile for
MONUMENT HEALTH NETWORK, INC.

NPI Number
1558740472
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MONUMENT HEALTH NETWORK, INC.
Doing Business As (dba): MONUMENT HEALTH LEAD-DEADWOOD CLINIC
Primary location
71 CHARLES ST
DEADWOOD, SD 57732-1303
Phone: (605) 717-6431 Fax: (605) 717-8033
Mailing address
PO BOX 860013
MINNEAPOLIS, MN 55486-0013
Phone: (605) 717-6431 Fax: (605) 755-7884
Organization Subpart
No
Authorized Official
MARK SCHMIDT
PRESIDENT CUSTER LD-DWD HOSPITAL
Phone: (605) 717-6020
Updated
Certification Date
Mar 31, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.