Organization Name: | COMMUNITY MEMORIAL HOSPITAL, INC |
NPI Number: | 1124108568 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES R FRANK (CEO) |
Mailing Address: | 809 Jackson St Burke |
State: | SD US |
Postal Code: | 575230319 |
Phone Number: | 6057752631 |
Fax Number: | 6057752564 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 04/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 10530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |