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General NPI Number Information
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NPI Number | 1952074791
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Entity Type | Organization
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Legal Business Name | PLATTE COMMUNITY MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 306 S JOHNSTON ST
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City | WHITE LAKE
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State | SD
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Zip | 57383-2251
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Country | US
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Telephone | 605-337-1529
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Fax | 605-337-2670
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Provider Business Mailing Address
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Address Line | 306 S JOHNSTON ST
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City | WHITE LAKE
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State | SD
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Zip | 57383-2251
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Country | US
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Telephone | 605-337-1529
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Fax | 605-337-2670
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Authorized Official
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Title or Position | CEO
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Name | MARK BURKET
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Credential |
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Telephone | 605-337-3364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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