Monument Health Custer Clinic

LBN: Monument Health Network, Inc
Monument Health Custer Clinic is an health care organization with primary practice located at 1220 Montgomery St , Custer SD 57730-1705. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Monument Health Network, Inc can be contacted via phone (605) 673-4150, or through Schmidt, Mark via phone (605) 717-6020.

Contact Information

Primary practice address
1220 Montgomery St Custer SD 57730-1705
Fax: (605) 673-9482
Website:
Authorized official contact:
Name: Schmidt, Mark

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X
Hospitals / Critical Access 282NC0060X 47660 South Dakota

Profile Details

NPI number 1871560516
LBN Legal business name Monument Health Network, Inc
DBA Doing business as Monument Health Custer Clinic
Authorized official Schmidt, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 12th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871560516 NPPES
South Dakota MEDICAID 5500612
South Dakota MEDICAID 0100612

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