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COMMUNITY MEMORIAL HOSPITAL, INC
NPI 1124108568
General Acute Care Hospital - Critical Access in Burke, SD

Active since October 17, 2006
809 JACKSON ST, BURKE, SD 57523(605) 775-2631(605) 775-2564 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Community Memorial Hospital, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY MEMORIAL HOSPITAL, INC (NPI 1124108568) is a healthcare organization registered as a critical access in Burke, South Dakota and active in the NPI registry since October 2006. The organization lists Mistie Drey, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1124108568
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameCOMMUNITY MEMORIAL HOSPITAL, INC
Location Address809 JACKSON STBurke, SD 57523-0319
Mailing Address809 Jackson St, Po Box 319Burke, SD 57523-0319 · (605) 775-2631 · Fax (605) 775-2564
Phone(605) 775-2631
Fax(605) 775-2564
Organization SubpartNo
Authorized OfficialMistie DreyCredentialing · (605) 775-2621
Enumeration DateOctober 17, 2006
Last NPPES UpdateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1124108568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in SD · 10530
809 JACKSON ST, Burke, SD 57523
Open in Google Maps ↗

Other Identifiers 1

Medicaid0159290SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Memorial Hospital, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Community Memorial Hospital, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Juracek, CNP
Nurse Practitioner
NPI 1790732600
809 JACKSON ST
Burke, SD 57523
(605) 775-2631
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Memorial Hospital, Inc's NPI number?

The NPI number for Community Memorial Hospital, Inc is 1124108568. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Community Memorial Hospital, Inc located?

Community Memorial Hospital, Inc is located at 809 Jackson St, Burke, SD 57523. The listed phone number is (605) 775-2631.

What is Community Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Community Memorial Hospital, Inc enrolled in Medicare?

Yes. Community Memorial Hospital, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Memorial Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Community Memorial Hospital, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Memorial Hospital, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Wellmark of South Dakota, Inc. list Community Memorial Hospital, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Memorial Hospital, Inc was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.