Organization
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
Active
Other names
Monument Health Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PIERCE (MONUMENT HEALTH PRESIDENT)
(605) 755-8162
Entity
Organization
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 719-1000
Mailing address
PO BOX 860013, MINNEAPOLIS, MN 55486-0013
(605) 755-2165
(605) 755-4593
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
10558
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003145392
—
SD
01
—
10558
SD LICENSE
SD
Enumeration date
12/15/2009
Last updated
12/15/2022
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