COMMUNITY MEMORIAL HOSPITAL
NPI 1659544807
Home Health in Burke, SD

NPI Status: Active since April 09, 2008

Contact Information

809 JACKSON ST
BURKE, SD
ZIP 57523
Phone: (605) 775-2621

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  • Organization
  • Home Health
  • CLIA Number: 43D0658943
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-21-2027

About COMMUNITY MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Community Memorial Hospital, a provider established in Burke, South Dakota operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1659544807 assigned on April 2008. The practitioner's primary taxonomy code is 251E00000X with license number 10530 (SD). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mistie Drey (Ceo)

NPI
1659544807
Provider Name
COMMUNITY MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
809 JACKSON ST BURKE, SD 57523
Location Phone
(605) 775-2621
Mailing Address
809 JACKSON ST PO BOX 319 BURKE, SD 57523
Mailing Phone
(605) 775-2621
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2008
Last Update Date
10-25-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
10530
License State
SD
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISTIE DREY

Authorized Official Title
CEO
Authorized Official Phone
(605) 775-2621

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9550220MEDICAID (05)SD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D0658943
Facility Type
Hospital
Certificate Effective Date
March 22, 2025
Certificate Expiration Date
March 21, 2027
Laboratory Director
DESIRAE M. MUIRHEAD
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Community Memorial Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659544807, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 0 + 4 + 8 + 8 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1659544807.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Family Medicine
809 JACKSON ST
BURKE, SD 57523
Nurse Practitioner (Family)
809 JACKSON ST
BURKE, SD 57523
Family Medicine
809 JACKSON ST
BURKE, SD 57523
General Acute Care Hospital (Critical Access)
809 JACKSON ST
BURKE, SD 57523
Nurse Practitioner (Family)
809 JACKSON ST
BURKE, SD 57523
Clinic/Center (Critical Access Hospital)
809 JACKSON ST
BURKE, SD 57523
Family Medicine
809 JACKSON ST
BURKE, SD 57523
Nurse Practitioner (Family)
809 JACKSON ST
BURKE, SD 57523
General Acute Care Hospital (Critical Access)
809 JACKSON ST
BURKE, SD 57523
Clinic/Center (Rural Health)
809 JACKSON ST
BURKE, SD 57523
Physician Assistant
809 JACKSON ST
BURKE, SD 57523

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659544807, enumerated as an "organization" on April 09, 2008.

The provider is located at 809 JACKSON ST BURKE, SD 57523 and the phone number is (605) 775-2621.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.