MONUMENT HEALTH LEAD-DEADWOOD CLINIC
NPI 1033597760
Clinic/Center - Multi-Specialty in Deadwood, SD

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since May 14, 2015CLIA 43D1071729 · Waiver

71 CHARLES ST, DEADWOOD, SD 57732(605) 717-6431(605) 717-8033 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 16, 2020, Mar 31, 2016 (2 updates tracked since 2016).

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About Monument Health Lead-deadwood Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONUMENT HEALTH LEAD-DEADWOOD CLINIC (NPI 1033597760) is a healthcare organization registered as a multi-specialty in Deadwood, South Dakota and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Mark C Schmidt, President Custer Ld-dwd Hospital, as its authorized official.

NPPES Registry Identity

NPI1033597760

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameMONUMENT HEALTH NETWORK, INC.

Location Address71 CHARLES STDeadwood, SD 57732-1303

Mailing AddressPo Box 860013Minneapolis, MN 55486-0013 · (605) 717-6431 · Fax (605) 755-7884

Phone(605) 717-6431

Fax(605) 717-8033

Organization SubpartNo

Authorized OfficialMark C SchmidtPresident Custer Ld-dwd Hospital · (605) 717-6020

Enumeration DateMay 14, 2015

Last NPPES UpdateMarch 16, 20202 updates tracked since enumeration

NPPES CertifiedMarch 16, 2020

✔ NPI 1033597760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

71 CHARLES ST, Deadwood, SD 57732

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Other Names 1

Doing Business AsMonument Health Lead-deadwood Clinic

Other Identifiers 1

Other10535SD · Sd License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D1071729

Monument Health Deadwood Clinic · Deadwood, SD

Active · expires Jul 30, 2027

CLIA Number43D1071729

Laboratory TypePhysician Office

Certificate Effective DateJuly 31, 2025

Certificate Expiration DateJuly 30, 2027

Laboratory DirectorTraci Matthew

Laboratory Phone(605) 717-6431

Laboratory LocationMonument Health Deadwood Clinic71 Charles Street, Deadwood, SD 57732

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 43D0408088

Monument Health Lead-Deadwood Hospital · Deadwood, SD

Active · expires Oct 22, 2027

CLIA Number43D0408088

Laboratory TypeHospital

Certificate Effective DateOctober 23, 2025

Certificate Expiration DateOctober 22, 2027

Laboratory DirectorKimberly Goble

Laboratory Phone(605) 717-6115

Laboratory LocationMonument Health Lead-Deadwood Hospital61 Charles Street, Deadwood, SD 57732

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANE ANDERSON RN CDE

Registered Nurse (Diabetes Educator)