WHITE LAKE MEDICAL CLINIC AVERA
NPI 1477942878
Clinic/Center - Rural Health in White Lake, SD

Q: What is Platte Community Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since January 22, 2015CLIA 43D2099208 · Microscopy

306 S JOHNSTON ST, WHITE LAKE, SD 57383(605) 337-1529(605) 249-2344 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About White Lake Medical Clinic Avera NPPES

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

WHITE LAKE MEDICAL CLINIC AVERA (NPI 1477942878) is a healthcare organization registered as a rural health in White Lake, South Dakota and active in the NPI registry since January 2015. The organization holds a CLIA Microscopy certificate valid through July 21, 2027 and lists Mark M. Burket, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477942878

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePLATTE COMMUNITY MEMORIAL HOSPITAL, INC

Location Address306 S JOHNSTON STWhite Lake, SD 57383-2251

Mailing Address306 S Johnston StWhite Lake, SD 57383-2251 · (605) 337-1529 · Fax (605) 249-2344

Phone(605) 337-1529

Fax(605) 249-2344

Organization SubpartNo

Authorized OfficialMark M. BurketCeo · (605) 337-3364

Enumeration DateJanuary 22, 2015

Last NPPES UpdateMarch 11, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1477942878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in SD · 10557

306 S JOHNSTON ST, White Lake, SD 57383

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Other Names 1

Doing Business AsWhite Lake Medical Clinic Avera

Other Identifiers 1

Medicaid5301160SD

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 43D2099208

White Lake Medical Clinic Avera · White Lake, SD

Active · expires Jul 21, 2027

CLIA Number43D2099208

Laboratory TypeRural Health Clinic

Certificate Effective DateJuly 22, 2025

Certificate Expiration DateJuly 21, 2027

Laboratory DirectorTia Haines

Laboratory Phone(605) 337-1529

Laboratory LocationWhite Lake Medical Clinic Avera306 South Johnston Street, White Lake, SD 57383

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PLATTE COMMUNITY MEMORIAL HOSPITAL, INC.

Family Medicine

306 S JOHNSTON ST
WHITE LAKE, SD 57383

Aurora County (605) 337-1529

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 Platte Community Memorial Hospital, Inc's NPI number?

The NPI number for Platte Community Memorial Hospital, Inc is 1477942878. It was assigned to this organization in the NPPES registry on January 22, 2015. The provider is doing business as White Lake Medical Clinic Avera.

Where is Platte Community Memorial Hospital, Inc located?

Platte Community Memorial Hospital, Inc is located at 306 S Johnston St, White Lake, SD 57383. The listed phone number is (605) 337-1529.

What is Platte Community Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Platte Community Memorial Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 43D2099208) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Platte Community Memorial Hospital, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Platte 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 Platte Community Memorial Hospital, Inc was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.