| Monument Health Network, Inc. | |
|
71 Charles St, Deadwood, SD 57732 | |
| (605) 717-6431 | |
| (605) 755-7884 |
| Full Name | Monument Health Network, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 71 Charles St, Deadwood, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124563655 | NPI | - | NPPES |
| 200885 | Other | SD | CERTIFICATE OF ACCREDITATION |
| 214518 | Other | SD | DEAP CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Monument Health Network, Inc. Po Box 860013, Minneapolis, MN 55486-0013 Ph: (605) 717-6431 | Monument Health Network, Inc. 71 Charles St, Deadwood, SD 57732 Ph: (605) 717-6431 |
Helen Beth Nichols, MNT Dietitian Medicare: Medicare Enrolled Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 Fax: 605-719-6471 | |
Monument Health Network, Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 Fax: 605-719-6163 |