| Platte Community Memorial Hospital Inc. | |
|
601 E 7th St Ste 3 Platte SD 57369-2123 | |
| (605) 337-3364 | |
| (605) 337-3360 |
| Full Name | Platte Community Memorial Hospital Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 E 7th St, Platte, South Dakota |
| Authorized Official Name and Position | Mark Alan Burket (CEO) |
| Authorized Official Contact | 6053373364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Platte Community Memorial Hospital Inc. Po Box 818 Platte SD 57369-0818 Ph: (605) 337-3364 | Platte Community Memorial Hospital Inc. 601 E 7th St Ste 3 Platte SD 57369-2123 Ph: (605) 337-3364 |
| NPI Number | 1629072400 |
|---|---|
| Provider Enumeration Date | 06/09/2005 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 6507770054 |
|---|---|
| Medicare Enrollment ID | O20061018000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629072400 | NPI | - | NPPES |
| 5340300 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Dakota) | Primary |
| Provider Name | Jerome Bentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649274986 PECOS PAC ID: 7618881152 Enrollment ID: I20051201000152 |
| Provider Name | Amy S Juracek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790732600 PECOS PAC ID: 6901819101 Enrollment ID: I20060710000132 |
| Provider Name | Dustin C Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982967451 PECOS PAC ID: 2466608138 Enrollment ID: I20120813000140 |
| Provider Name | Nelson G Batoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689831547 PECOS PAC ID: 9739337114 Enrollment ID: I20120910000114 |
| Provider Name | Stephanie M Leader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184050437 PECOS PAC ID: 4981830098 Enrollment ID: I20140303001831 |
| Provider Name | Jessica M Vanderham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285143891 PECOS PAC ID: 5991071409 Enrollment ID: I20171030000585 |
| Provider Name | Nakayla L Pheifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467937136 PECOS PAC ID: 6608113618 Enrollment ID: I20190129003654 |
| Provider Name | April Marie Veurink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154997880 PECOS PAC ID: 6103228077 Enrollment ID: I20210714003184 |
| Provider Name | Hau Van Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164874368 PECOS PAC ID: 7012201023 Enrollment ID: I20220929000592 |
| Provider Name | Dana S Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962129189 PECOS PAC ID: 4486022092 Enrollment ID: I20221201000960 |
| Provider Name | Jennifer L Sheffield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497987812 PECOS PAC ID: 4183874928 Enrollment ID: I20240716003524 |
Platte Community Memorial Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 7th St, Platte, SD 57369 Phone: 605-337-3364 Fax: 605-337-3360 |