COMMUNITY MEMORIAL HOSPITAL INC NPI 1033147384

NPI Information

NPI: 1033147384
Provider Name: COMMUNITY MEMORIAL HOSPITAL INC

Doing Business As: BONESTEEL MEDICAL CLINIC

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

Specialization: Rural Health

Address:
314 MELLETTE STREET
BONESTEEL, SD
ZIP 57317
Phone: (605) 654-9021
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COMMUNITY MEMORIAL HOSPITAL INC is a rural health clinic center in Bonesteel, SD. COMMUNITY MEMORIAL HOSPITAL INC NPI is 1033147384. The provider is registered as an organization entity type.
The provider Is Doing Business As Bonesteel Medical Clinic.

The provider's business location address is:

314 MELLETTE STREET
BONESTEEL, SD
ZIP 57317-342
Phone: (605) 654-9021

The provider's authorized official is Mistie Drey .
The authorized official title is Ceo and has the following contact phone number (605) 775-2621.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 10/25/2022.

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
1	261QR1300X	Clinic/Center	Rural Health		SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5340240	MEDICAID	SOUTH DAKOTA

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

NPI Synchronization or Removal

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