Organization
PLATTE COMMUNITY MEMORIAL HOSPITAL, INC
Active
Other names
White Lake Medical Clinic Avera
Organization subpart
No
Provider details
NPI number
Authorized official
MARK M. BURKET (CEO)
(605) 337-3364
Entity
Organization
Contact information
Practice address
306 S JOHNSTON ST, WHITE LAKE, SD 57383-2251
(605) 337-1529
(605) 249-2344
Mailing address
306 S JOHNSTON ST, WHITE LAKE, SD 57383-2251
(605) 337-1529
(605) 249-2344
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
10557
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5301160
—
SD
Enumeration date
01/22/2015
Last updated
03/11/2024
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