MONUMENT HEALTH MEDICAL CLINIC-LEAD DEADWOOD
NPI 1124563655
Dietitian, Registered in Deadwood, SD

Active since December 19, 2016
71 CHARLES ST, DEADWOOD, SD 57732(605) 717-6431(605) 755-7884 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2022, Jun 15, 2018, Dec 19, 2016 (3 updates tracked since 2016).

About Monument Health Medical Clinic-lead Deadwood NPPES

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

MONUMENT HEALTH MEDICAL CLINIC-LEAD DEADWOOD (NPI 1124563655) is a healthcare organization registered as a dietitian, registered in Deadwood, South Dakota and active in the NPI registry since December 2016. The organization lists Mark Schmidt, President Custer Ld-dwd Markets, as its authorized official.

NPPES Registry Identity

NPI1124563655
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameMONUMENT HEALTH NETWORK, INC.
Location Address71 CHARLES STDeadwood, SD 57732
Mailing AddressPo Box 860013Minneapolis, MN 55486-0013 · (605) 717-6431 · Fax (605) 755-7884
Fax(605) 755-7884
Organization SubpartYes
Authorized OfficialMark SchmidtPresident Custer Ld-dwd Markets · (605) 755-8094
Enumeration DateDecember 19, 2016
Last NPPES UpdateMarch 9, 20223 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
NPI 1124563655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

71 CHARLES ST, Deadwood, SD 57732

Other Names 1

Doing Business AsMonument Health Medical Clinic-lead Deadwood

Other Identifiers 2

Other200885SD · Certificate Of Accreditation
Other214518SD · Deap Certificate

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Registered Nurse (Diabetes Educator)
71 CHARLES ST
DEADWOOD, SD 57732
Clinic/Center
71 CHARLES ST
DEADWOOD, SD 57732
Dietitian, Registered
71 CHARLES ST
DEADWOOD, SD 57732
Durable Medical Equipment & Medical Supplies
71 CHARLES ST
DEADWOOD, SD 57732
Internal Medicine
71 CHARLES ST
DEADWOOD, SD 57732
Internal Medicine
71 CHARLES ST
DEADWOOD, SD 57732
Family Medicine
71 CHARLES ST
DEADWOOD, SD 57732
Physician Assistant
71 CHARLES ST
DEADWOOD, SD 57732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124563655, enumerated as an "organization" on December 19, 2016.

The provider is located at 71 CHARLES ST DEADWOOD, SD 57732 and the phone number is (605) 717-6431.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.