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Organization

MONUMENT HEALTH NETWORK, INC.

Active
Parent organization
MONUMENT HEALTH NETWORK, INC.
Other names
Monument Health Custer Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
MONUMENT HEALTH NETWORK, INC.
Authorized official
MARK C SCHMIDT (PRESIDENT CUSTER LDWD MARKET)
(605) 755-8094
Entity
Organization

Contact information

Practice address
1220 MONTGOMERY ST, CUSTER, SD 57730-1705
(605) 673-9400
(605) 755-0694
Mailing address
PO BOX 860013, MINNEAPOLIS, MN 55486-0013
(605) 755-7649
(605) 755-7884

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801273537
NPI NUMBER
SD
01
214518
ADCES
SD
Enumeration date
05/01/2015
Last updated
02/17/2022
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