Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTIE DREY (CEO)
(605) 775-2621
Entity
Organization
Contact information
Practice address
809 JACKSON ST, BURKE, SD 57523-0319
(605) 775-2621
Mailing address
809 JACKSON ST, PO BOX 319, BURKE, SD 57523-0319
(605) 775-2621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10530
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9550220
—
SD
Enumeration date
04/09/2008
Last updated
10/25/2022
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