Community Memorial Hospital
Organization Active NPI Home Health Agency · Burke, SD
NPI 1659544807 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1659544807
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 10530 (SD)
- Legal business name
- COMMUNITY MEMORIAL HOSPITAL
- Practice address
- 809 Jackson St
Burke, SD 57523-0319 - Phone
- (605) 775-2621
- NPI assigned
- Apr 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Mistie Drey
- Title
- Ceo
- Phone
- (605) 775-2621
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Community Memorial Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 10530 | SD | Yes |
Addresses
Primary practice location
809 Jackson St
Burke, SD 57523-0319
Mailing address
809 Jackson St
PO Box 319
Burke, SD 57523-0319
Phone (605) 775-2621
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9550220 | Medicaid | SD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lynne.bentz@cmhburke.org |
Other providers in Burke, SD
- Michael R Birgenheir
- Burke Ambulance Service Inc
- Burke Ambulance Service, Inc.
- Burke Community Pharmacy
- Mary S Carpenter
- Community Memorial Hospital Inc
- Community Memorial Hospital, Inc
- Community Memorial Hospital, Inc
- Community Memorial Hospital, Inc
- Dulce Lorraine Frank
All providers in Burke, SD · Home Health Agency in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.