White Lake Medical Clinic Avera
LBN: Platte Community Memorial Hospital, Inc
White Lake Medical Clinic Avera is an health care organization with primary practice located at 306 S Johnston St , White Lake SD 57383-2251. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty.
Platte Community Memorial Hospital, Inc can be contacted via phone (605) 337-1529, or through Burket, Mark M. via phone (605) 337-3364.
Contact Information
Primary practice address
306 S Johnston St
White Lake SD 57383-2251
Phone: (605) 337-1529
Fax: (605) 249-2344
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 10557 | South Dakota |
Profile Details
NPI number | 1477942878 |
---|---|
LBN Legal business name | Platte Community Memorial Hospital, Inc |
DBA Doing business as | White Lake Medical Clinic Avera |
Authorized official | Burket, Mark M. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 22nd, 2015 |
Last updated | Mar 11th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477942878 | NPPES |
South Dakota | MEDICAID | 5301160 |
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