Organization
COMMUNITY MEMORIAL HOSPITAL INC
Active
Organization
COMMUNITY MEMORIAL HOSPITAL INC
Active
Other names
BONESTEEL MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE MARIE BENTZ (CREDENTIALING)
(605) 775-2631
Entity
Organization
Contact information
Practice address
314 MELLETTE ST, BONESTEEL, SD 57317-2110
(605) 654-9021
Mailing address
PO BOX 358, BURKE, SD 57523-0358
(605) 775-2631
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253126-00
—
NE
Enumeration date
09/02/2011
Last updated
10/25/2022
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