| Community Memorial Hospital Inc | |
|
314 Mellette St Bonesteel SD 57317-2110 | |
| (605) 654-9021 | |
| Not Available |
| Full Name | Community Memorial Hospital Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 314 Mellette St, Bonesteel, South Dakota |
| Authorized Official Name and Position | Lynne Marie Bentz (CREDENTIALING) |
| Authorized Official Contact | 6057752631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Memorial Hospital Inc Po Box 358 Burke SD 57523-0358 Ph: (605) 775-2631 | Community Memorial Hospital Inc 314 Mellette St Bonesteel SD 57317-2110 Ph: (605) 654-9021 |
| NPI Number | 1902187032 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902187032 | NPI | - | NPPES |
| 100253126-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Memorial Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 Mellette Street, Bonesteel, SD 57317 Phone: 605-654-9021 |