BONESTEEL MEDICAL CLINIC
NPI 1902187032
Clinic/Center - Rural Health in Bonesteel, SD

Active since September 02, 2011CLIA 43D1020695 · Waiver
314 MELLETTE ST, BONESTEEL, SD 57317(605) 654-9021 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonesteel Medical Clinic NPPES

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

BONESTEEL MEDICAL CLINIC (NPI 1902187032) is a healthcare organization registered as a rural health in Bonesteel, South Dakota and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Lynne Marie Bentz, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1902187032
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOMMUNITY MEMORIAL HOSPITAL INC
Location Address314 MELLETTE STBonesteel, SD 57317-2110
Mailing AddressPo Box 358Burke, SD 57523-0358 · (605) 775-2631
Organization SubpartNo
Authorized OfficialLynne Marie BentzCredentialing · (605) 775-2631
Enumeration DateSeptember 2, 2011
Last NPPES UpdateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
NPI 1902187032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
314 MELLETTE ST, Bonesteel, SD 57317

Other Names 1

Doing Business AsBonesteel Medical Clinic

Other Identifiers 1

Medicaid100253126-00NE

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 of Waiver 43D1020695

Bonesteel Medical Clinic · Bonesteel, SD
Active · expires Dec 29, 2027
CLIA Number43D1020695
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorTyler Van Metre
Laboratory Phone(605) 654-9021
Laboratory LocationBonesteel Medical Clinic314 Mellette Street, Bonesteel, SD 57317
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1902187032. It was assigned to this organization in the NPPES registry on September 2, 2011. The provider is doing business as Bonesteel Medical Clinic.

Where is Community Memorial Hospital Inc located?

Community Memorial Hospital Inc is located at 314 Mellette St, Bonesteel, SD 57317. The listed phone number is (605) 654-9021.

What is 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 Community Memorial Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D1020695) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 3 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.