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MONUMENT HEALTH RAPID CITY HOSPITAL INC. NPI 1457730673


NPI Information

NPI: 1457730673
Provider Name: MONUMENT HEALTH RAPID CITY HOSPITAL, INC.

Doing Business As: WALL REGIONAL MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 43D0408180

Address:
112 7TH AVENUE
WALL, SD
ZIP 57790
Phone: (605) 279-2149
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MONUMENT HEALTH RAPID CITY HOSPITAL, INC. is a rural health clinic center in Wall, SD. MONUMENT HEALTH RAPID CITY HOSPITAL, INC. NPI is 1457730673. The provider is registered as an organization entity type.
The provider Is Doing Business As Wall Regional Medical Clinic.

The provider's business location address is:

112 7TH AVENUE
WALL, SD
ZIP 57790-001
Phone: (605) 279-2149
Fax: (605) 279-1027

The provider's authorized official is John Pierce .
The authorized official title is Monument Health President and has the following contact phone number (605) 755-8162.

The CLIA number assigned to this NPI record is 43D0408180 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/20/2015 and was last updated on 3/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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