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:
Map and Directions
Authorized official contact:
Name: Burket, Mark M.
Phone: (605) 337-3364

Health care specialties

SpecialtyCodeLicense #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 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477942878 NPPES
South Dakota MEDICAID 5301160

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