COMMUNITY MEMORIAL HOSPITAL, INC (NPI# 1447293196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447293196 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEMORIAL HOSPITAL, INC |
| Other Organization Name | BURKE MEDICAL CLINIC |
| Practice Address |
814 Jackson St Burke SD 57523-0358 |
| Practice Telephone | 6057752631 |
| Practice Fax Number | 6057752631 |
| Mailing Telephone | 6057752631 |
| Mailing Fax Number | 6057752564 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | BILLIE RAE PERSON (CLINIC MANAGER) |
| Authorized Official Telephone | 6057752631 |
| 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 | 5306722 | 05 |
| Other Name | Type Code |
|---|---|
| BURKE MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487878435 | Community Memorial Hospital, Inc | Clinic/Center | 809 Jackson St, Burke, SD 57523-0319 | 2007-04-12 |
| 1124108568 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-10-17 |
| 1902849516 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 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 |
814 JACKSON ST |
| City | BURKE |
| State | SD |
| Zip Code | 57523-0358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347496 | Debra K Leibel | Nurse Practitioner | 814 Jackson St, Burke, SD 57523-0358 | 2005-06-23 |
| 1568754216 | Megan M Smith | Family Medicine | 814 Jackson St, Burke, SD 57523 | 2011-05-12 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710047949 | Burke Community Pharmacy | Pharmacy | 814 Jackson Street, Burke, SD 57523 | 2006-12-11 |
| 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 |
| 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 |
| 1124108568 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-10-17 |
| 1902849516 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-06-13 |
| 1881794006 | Sanford Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 841 Jackson St Suite A, Burke, SD 57523-0375 | 2006-09-25 |
| 1649877374 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 841 Jackson St Suite A, Burke, SD 57523-0375 | 2020-10-06 |
| Find all providers in zip 57523 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1447803432 | City of Brookings | Clinic/Center | 104 1/2 West 2nd Street, Elkton, SD 57026 | 2019-07-19 |
| 1477942878 | Platte Community Memorial Hospital, Inc | Clinic/Center | 306 S Johnston St, White Lake, SD 57383-2251 | 2015-01-22 |
| 1003230541 | Regional Health Physicians, Inc. | Clinic/Center | 112 7th Avenue, Wall, SD 57790 | 2014-02-04 |
| 1912279829 | City of Brookings | Clinic/Center | 302 E 5th Street, White, SD 57276-2061 | 2012-02-08 |
| 1902187032 | Community Memorial Hospital Inc | Clinic/Center | 314 Mellette St, Bonesteel, SD 57317 | 2011-09-02 |
| 1609013317 | Douglas County Memorial Hospital | Clinic/Center | 310 W Sd Highway 46, Wagner, SD 57380-9304 | 2009-01-16 |
| 1750422655 | Regional Health Physicians Inc | Clinic/Center | 114 E Main Street, Hill City, SD 57745 | 2007-02-12 |
| 1326189754 | Regional Health Physicians Inc | Clinic/Center | 101 E. Third St., Newell, SD 57760 | 2007-02-09 |
| 1609931518 | Sioux Valley Clinic | Clinic/Center | 600 W Cedar Street (highway 46), Beresford, SD 57004 | 2006-12-22 |
| 1588677892 | Avera Mckennan | Clinic/Center | 305 N 2nd Ave, Revillo, SD 57259-0006 | 2006-08-15 |
| 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.