PLATTE COMMUNITY MEMORIAL HOSPITAL, INC (NPI# 1477942878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477942878 |
Entity Type | Organization |
Organization Name | PLATTE COMMUNITY MEMORIAL HOSPITAL, INC |
Other Organization Name | WHITE LAKE MEDICAL CLINIC AVERA |
Practice Address |
306 S Johnston St White Lake SD 57383-2251 |
Practice Telephone | 6053371529 |
Practice Fax Number | 6052492344 |
Mailing Telephone | 6053371529 |
Mailing Fax Number | 6052492344 |
Enumeration Date | 2015-01-22 |
Last Update Date | 2015-10-30 |
Authorized Official Name | MARK M. BURKET (ADMINISTRATOR) |
Authorized Official Telephone | 6053373364 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
10557 | SD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 5301160 | 05 |
Other Name | Type Code |
---|---|
White Lake Medical Clinic Avera | Doing Business As Name - Organization |
Street Address |
306 S JOHNSTON ST |
City | WHITE LAKE |
State | SD |
Zip Code | 57383-2251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154367571 | Aurora Brule Nursing Home, Inc. | Skilled Nursing Facility | 408 S. Johnston St., White Lake, SD 57383 | 2006-06-22 |
1417175373 | White Lake Ambulance Service | Ambulance | 209 North Main Street, White Lake, SD 57383-0245 | 2007-04-23 |
1417208380 | Jonathan Jay Busch | Counselor | 37451 252nd St, White Lake, SD 57383-5620 | 2012-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616216 | Elizabeth Trueblood | Occupational Therapist | 5664 Teton Trl, White Lake, MI 48383-4017 | 2020-10-12 |
1063010288 | Heather R Iavelli | Massage Therapist | 220 Dumaire St, White Lake, MI 48383-2697 | 2020-10-09 |
1285231563 | Jennifer L Herrera | Occupational Therapy Assistant | 10189 Elizabeth Lake Rd, White Lake, MI 48386-2736 | 2020-10-08 |
1457976516 | Candice Kiera Gibson | Social Worker | 133 Lisa Cir, White Lake, MI 48386-3445 | 2020-06-14 |
1659994689 | Ashlen Paige Michalski | Behavior Technician | 10301 Riverwood Ct, White Lake, MI 48386-2642 | 2020-05-26 |
1841813813 | Brian Joseph Allar | Registered Nurse | 1738 Ridge Rd, White Lake, MI 48383-1784 | 2020-05-25 |
1902431653 | Recovery Mobile Clinic | Clinic/Center | 3050 Steeple Road, White Lake, MI 48383 | 2020-03-03 |
1982234803 | Ashley Ziebarth | Nurse Practitioner | 9178 Highland Rd Ste 1, White Lake, MI 48386-4619 | 2020-01-20 |
1518501402 | Tina L Cummings | Behavior Technician | 8300 Atha St, White Lake, MI 48386-4300 | 2019-11-04 |
1740821339 | Farrah Laviolette | Psychiatry & Neurology | 9178 Highland Rd Ste A, White Lake, MI 48386-4619 | 2019-10-04 |
Find all providers in WHITE LAKE |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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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 |
1912916438 | Linton Hospital | Clinic/Center | 517 Ave B, Pollick, SD 57648 | 2006-08-05 |
Find all providers with the same taxonomy |
City | WHITE LAKE |
Zip Code | 57383 |
Please comment or provide details below to improve the information on PLATTE COMMUNITY MEMORIAL HOSPITAL, INC.
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.