Organization
COMMUNITY MEMORIAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTIE DREY III (CEO)
(605) 775-2621
Entity
Organization
Contact information
Practice address
809 JACKSON ST, BURKE, SD 57523-0319
(605) 775-2631
Mailing address
809 JACKSON ST, BURKE, SD 57523-0319
(605) 775-2631
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
10530
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100740
—
SD
05
—
5500740
—
SD
Enumeration date
06/13/2006
Last updated
10/25/2022
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