Organization
COMMUNITY MEMORIAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTIE DREY (CREDENTIALING)
(605) 775-2621
Entity
Organization
Contact information
Practice address
809 JACKSON ST, BURKE, SD 57523-0319
(605) 775-2631
(605) 775-2564
Mailing address
809 JACKSON ST, PO BOX 319, BURKE, SD 57523-0319
(605) 775-2631
(605) 775-2564
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
10530
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159290
—
SD
Enumeration date
10/17/2006
Last updated
10/25/2022
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