Organization
MONUMENT HEALTH NETWORK. INC.
Active
Other names
Monument Health Custer Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SCHMIDT (PRESIDENT CUSTER LD-DWD MARKETS)
(605) 717-6020
Entity
Organization
Contact information
Practice address
1065 MONTGOMERY ST, CUSTER, SD 57730-1304
(605) 673-2237
(605) 673-3593
Mailing address
PO BOX 860013, MINNEAPOLIS, MN 55486-0013
(605) 717-6020
(605) 755-0694
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10610
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151283
—
SD
05
—
051283
—
SD
01
—
85032
WELLMARK
SD
01
—
85032
BLUE CROSS
—
Enumeration date
06/27/2005
Last updated
03/16/2020
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