Organization
MONUMENT HEALTH NETWORK, INC.
Active
Other names
Monument Health Lead-Deadwood Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C SCHMIDT (PRESIDENT CUSTER LD-DWD HOSPITAL)
(605) 717-6020
Entity
Organization
Contact information
Practice address
71 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 717-6431
(605) 717-8033
Mailing address
PO BOX 860013, MINNEAPOLIS, MN 55486-0013
(605) 717-6431
(605) 755-7884
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10535
SD LICENSE
SD
Enumeration date
05/14/2015
Last updated
03/16/2020
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