PLATTE COMMUNITY MEMORIAL HOSPITAL INC NPI 1477942878

NPI Information

NPI: 1477942878
Provider Name: PLATTE COMMUNITY MEMORIAL HOSPITAL, INC

Doing Business As: WHITE LAKE MEDICAL CLINIC AVERA

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

Specialization: Rural Health

Address:
306 S JOHNSTON ST
WHITE LAKE, SD
ZIP 57383
Phone: (605) 337-1529
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PLATTE COMMUNITY MEMORIAL HOSPITAL, INC is a rural health clinic center in White Lake, SD. PLATTE COMMUNITY MEMORIAL HOSPITAL, INC NPI is 1477942878. The provider is registered as an organization entity type.
The provider Is Doing Business As White Lake Medical Clinic Avera.

The provider's business location address is:

306 S JOHNSTON ST
WHITE LAKE, SD
ZIP 57383-251
Phone: (605) 337-1529
Fax: (605) 249-2344

The provider's authorized official is Mark M. Burket .
The authorized official title is Ceo and has the following contact phone number (605) 337-3364.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 3/11/2024.

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	10557	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	5301160	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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