COMMUNITY MEMORIAL HOSPITAL, INC (NPI# 1124108568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124108568 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL, INC |
| Practice Address |
809 Jackson St Burke SD 57523-0319 |
| Mailing Address |
809 Jackson St Po Box 319 Burke SD 57523-0319 |
| Practice Telephone | 6057752631 |
| Practice Fax Number | 6057752564 |
| Mailing Telephone | 6057752631 |
| Mailing Fax Number | 6057752564 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | JAMES R FRANK (CEO) |
| Authorized Official Telephone | 6057752621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
10530 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0159290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487878435 | Community Memorial Hospital, Inc | Clinic/Center | 809 Jackson St, Burke, SD 57523-0319 | 2007-04-12 |
| 1902849516 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-06-13 |
| 1447293196 | Community Memorial Hospital, Inc | Clinic/Center | 814 Jackson St, Burke, SD 57523-0358 | 2006-06-13 |
| 1184626897 | Community Memorial Hospital, Inc | Skilled Nursing Facility | 150 Broad St, Hamilton, NY 13346-9575 | 2005-08-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL, INC. | 2731 Healthcare Dr, Syracuse, NE 68446-7880 |
| System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL, INCORPORATED | 800 Memorial Dr Ste 1, Spring Valley, MN 55975-1055 |
| Street Address |
809 JACKSON ST |
| City | BURKE |
| State | SD |
| Zip Code | 57523-0319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336196310 | Leola Mae Lyon | Physician Assistant | 809 Jackson St, Burke, SD 57523-2065 | 2006-05-27 |
| 1568935237 | Kris A Schweigert | Counselor | 809 Jackson St, Burke, SD 57523-2065 | 2019-01-06 |
| 1659544807 | Community Memorial Hospital | Home Health | 809 Jackson St, Burke, SD 57523-0319 | 2008-04-09 |
| 1487878435 | Community Memorial Hospital, Inc | Clinic/Center | 809 Jackson St, Burke, SD 57523-0319 | 2007-04-12 |
| 1053492827 | Tony L Berg | Family Medicine | 809 Jackson St, Burke, SD 57523-2065 | 2006-10-18 |
| 1417038100 | Mary S Carpenter | Family Medicine | 809 Jackson St, Burke, SD 57523-2065 | 2006-10-18 |
| 1902849516 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710047949 | Burke Community Pharmacy | Pharmacy | 814 Jackson Street, Burke, SD 57523 | 2006-12-11 |
| 1568754216 | Megan M Smith | Family Medicine | 814 Jackson St, Burke, SD 57523 | 2011-05-12 |
| 1497875306 | Burke Ambulance Service, Inc. | Ambulance | 701 Washington Street, Burke, SD 57523-0061 | 2007-04-02 |
| 1578889523 | Burke Volunteer Fire Department and Ambulance Service Inc | Ambulance | 701 Washington Street, Burke, SD 57523-0061 | 2010-04-15 |
| 1841601176 | Nancy Benter | Registered Nurse | 145 W 5 St, Burke, SD 57523-0147 | 2014-05-08 |
| 1356347496 | Debra K Leibel | Nurse Practitioner | 814 Jackson St, Burke, SD 57523-0358 | 2005-06-23 |
| 1447293196 | Community Memorial Hospital, Inc | Clinic/Center | 814 Jackson St, Burke, SD 57523-0358 | 2006-06-13 |
| 1346289568 | Michael R Birgenheir | Physician Assistant | 814 Jackson St, Burke, SD 57523-0358 | 2006-06-05 |
| 1790732600 | Amy S Juracek | Nurse Practitioner | 814 Jackson St, Burke, SD 57523-0358 | 2006-05-27 |
| 1881794006 | Sanford Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 841 Jackson St Suite A, Burke, SD 57523-0375 | 2006-09-25 |
| Find all providers in zip 57523 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902849516 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1538233549 | Winner Regional Healthcare Center | General Acute Care Hospital | 745 E 8th St, Winner, SD 57580-2677 | 2006-11-20 |
| 1013002286 | Eureka Community & Benevolent Hospital | General Acute Care Hospital | 200 J Ave, Eureka, SD 57437 | 2006-10-04 |
| 1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1295747608 | Avera Mckennan | General Acute Care Hospital | 214 N Prairie St, Flandreau, SD 57028-1243 | 2006-08-13 |
| 1790791366 | Fall River Health Services | General Acute Care Hospital | 1201 Highway 71 South, Hot Springs, SD 57747-1374 | 2006-08-01 |
| 1275562027 | Avera Mckennan | General Acute Care Hospital | 400 Park Ave., Gregory, SD 57533-1302 | 2006-07-02 |
| 1154350064 | Avera Mckennan | General Acute Care Hospital | 909 North Iowa Ave, Dell Rapids, SD 57022-1231 | 2006-07-02 |
| 1669418877 | Bowdle Hospital | General Acute Care Hospital | 8001 West 5th Street, Bowdle, SD 57428-0556 | 2006-06-22 |
| 1548204266 | St. Michael's Hospital, Inc. | General Acute Care Hospital | 410 West 16th Ave., Tyndall, SD 57066-0027 | 2006-06-15 |
| Find all providers with the same taxonomy | ||||
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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.