COMMUNITY MEMORIAL HOSPITAL INC (NPI# 1033147384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033147384 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL INC |
| Other Organization Name | BONESTEEL MEDICAL CLINIC |
| Practice Address |
314 Mellette Street Bonesteel SD 57317-0342 |
| Practice Telephone | 6056549021 |
| Mailing Telephone | 6056549021 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | MISTIE SACHTJEN II (CEO) |
| Authorized Official Telephone | 6057752621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5340240 | 05 |
| Other Name | Type Code |
|---|---|
| BONESTEEL MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902187032 | Community Memorial Hospital Inc | Clinic/Center | 314 Mellette St, Bonesteel, SD 57317 | 2011-09-02 |
| Street Address |
314 MELLETTE STREET |
| City | BONESTEEL |
| State | SD |
| Zip Code | 57317-0342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902187032 | Community Memorial Hospital Inc | Clinic/Center | 314 Mellette St, Bonesteel, SD 57317 | 2011-09-02 |
| 1174761803 | Bonesteel Fairfax Sch Dist 26-5 | Local Education Agency (LEA) | 410 Birdsell Street, Bonesteel, SD 57317 | 2009-02-03 |
| 1013104751 | Bonesteel Amb | Emergency Medical Technician, Basic | 208 Hwy 18, Bonesteel, SD 57317-0095 | 2007-09-26 |
| 1093908287 | Jons Family Inc. | Assisted Living Facility | 210 N Garrison Ave, Bonesteel, SD 57317-0257 | 2007-08-22 |
| 1942561006 | Bonesteel Fairfax Ambulance | Voluntary or Charitable | 206 Mellette Street, Bonesteel, SD 57317-9998 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942561006 | Bonesteel Fairfax Ambulance | Voluntary or Charitable | 206 Mellette Street, Bonesteel, SD 57317-9998 | 2012-06-06 |
| 1902187032 | Community Memorial Hospital Inc | Clinic/Center | 314 Mellette St, Bonesteel, SD 57317 | 2011-09-02 |
| 1174761803 | Bonesteel Fairfax Sch Dist 26-5 | Local Education Agency (LEA) | 410 Birdsell Street, Bonesteel, SD 57317 | 2009-02-03 |
| 1013104751 | Bonesteel Amb | Emergency Medical Technician, Basic | 208 Hwy 18, Bonesteel, SD 57317-0095 | 2007-09-26 |
| 1093908287 | Jons Family Inc. | Assisted Living Facility | 210 N Garrison Ave, Bonesteel, SD 57317-0257 | 2007-08-22 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902187032 | Community Memorial Hospital Inc | Clinic/Center | 314 Mellette St, Bonesteel, SD 57317 | 2011-09-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.