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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