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Organization
MONUMENT HEALTH NETWORK, INC.
Active
Organization
MONUMENT HEALTH NETWORK, INC.
Active
Parent organization
MONUMENT HEALTH NETWORK, INC.
Other names
Monument Health Medical Clinic-Lead Deadwood
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONUMENT HEALTH NETWORK, INC.
Authorized official
MARK SCHMIDT (PRESIDENT CUSTER LD-DWD MARKETS)
(605) 755-8094
Entity
Organization
Contact information
Practice address
71 CHARLES ST, DEADWOOD, SD 57732
(605) 717-6431
(605) 755-7884
Mailing address
PO BOX 860013, MINNEAPOLIS, MN 55486-0013
(605) 717-6431
(605) 755-7884
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200885
CERTIFICATE OF ACCREDITATION
SD
01
—
214518
DEAP CERTIFICATE
SD
Enumeration date
12/19/2016
Last updated
03/09/2022
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