| Monument Health Spearfish Clinic, North 10th Sreet | |
|
1420 N 10th St Spearfish SD 57783-1532 | |
| (605) 717-8595 | |
| (605) 717-8618 |
| Full Name | Monument Health Spearfish Clinic, North 10th Sreet |
|---|---|
| Speciality | Clinic/Center |
| Location | 1420 N 10th St, Spearfish, South Dakota |
| Authorized Official Name and Position | Thomas Worsley (PRESIDENT SPEARFISH HOSPITAL) |
| Authorized Official Contact | 6056444091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monument Health Spearfish Clinic, North 10th Sreet Po Box 860013 Minneapolis MN 55486-0013 Ph: (605) 717-8595 | Monument Health Spearfish Clinic, North 10th Sreet 1420 N 10th St Spearfish SD 57783-1532 Ph: (605) 717-8595 |
| NPI Number | 1578942496 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 03/31/2020 |
| Medicare PECOS PAC ID | 5991616427 |
|---|---|
| Medicare Enrollment ID | O20150611001949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578942496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael A Jording |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982681383 PECOS PAC ID: 7416943881 Enrollment ID: I20040421001457 |
| Provider Name | Duane C Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689767352 PECOS PAC ID: 4587696380 Enrollment ID: I20090211000215 |
| Provider Name | Lanny B Reimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285713792 PECOS PAC ID: 9032140595 Enrollment ID: I20090320000244 |
| Provider Name | Nathan L Hensley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265746556 PECOS PAC ID: 1850532029 Enrollment ID: I20150824002191 |
| Provider Name | Ashley Tupper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316354590 PECOS PAC ID: 8921225988 Enrollment ID: I20160129001178 |
| Provider Name | Andrew D Vanosdol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710203401 PECOS PAC ID: 7315196532 Enrollment ID: I20161102002738 |
| Provider Name | Dustin L Smoot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760578975 PECOS PAC ID: 1254484470 Enrollment ID: I20161123001099 |
| Provider Name | Regg A Hagge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902850779 PECOS PAC ID: 3375444508 Enrollment ID: I20180626001331 |
| Provider Name | Carolyn K Stansberry |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871566745 PECOS PAC ID: 5799735387 Enrollment ID: I20190613000529 |
| Provider Name | James F Jeffery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639628381 PECOS PAC ID: 5597044586 Enrollment ID: I20200113001191 |
| Provider Name | John M Palmer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063510691 PECOS PAC ID: 5799839569 Enrollment ID: I20200407000118 |
| Provider Name | Katy J Caffee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033638291 PECOS PAC ID: 8022375526 Enrollment ID: I20210608002331 |
| Provider Name | Nicholas M Czosnyka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093071441 PECOS PAC ID: 9234367228 Enrollment ID: I20210609001715 |
| Provider Name | Ray B Jensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962716761 PECOS PAC ID: 6305005182 Enrollment ID: I20210609002244 |
| Provider Name | Lacey L Waddell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033497425 PECOS PAC ID: 0143491134 Enrollment ID: I20210609003406 |
| Provider Name | Richard M Little |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609849579 PECOS PAC ID: 2264342187 Enrollment ID: I20220222001582 |
| Provider Name | Christopher C Gasbarre |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972790160 PECOS PAC ID: 5698861177 Enrollment ID: I20220223001159 |
Monument Health Belle Fourche Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 N Main St, Spearfish, SD 57783 Phone: 605-644-4000 Fax: 605-644-4247 | |
Spearfish Regional Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 North Avenue, Spearfish, SD 57783 Phone: 605-644-4170 Fax: 605-644-4198 | |
Monument Health Spearfish Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 N Main Street, Spearfish, SD 57783 Phone: 605-644-4000 Fax: 605-644-4247 | |
Spearfish Regional Medical Clinic East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2479 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-644-4460 | |
Spearfish Health Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-642-2030 | |
Monument Health Spearfish Clinic, North 10th Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 Fax: 605-717-8618 |