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WHITE LAKE MEDICAL CLINIC AVERA
NPI 1952074791
Family Medicine in White Lake, SD

Active since July 28, 2021
306 S JOHNSTON ST, WHITE LAKE, SD 57383(605) 337-1529(605) 337-2670 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1952074791) is a healthcare organization registered as a family medicine in White Lake, South Dakota and active in the NPI registry since July 2021. The organization lists Mark Burket, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952074791
Entity TypeOrganization
Primary Taxonomy207Q00000X
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) 337-2670
Phone(605) 337-1529
Fax(605) 337-2670
Organization SubpartNo
Authorized OfficialMark BurketCeo · (605) 337-3364
Enumeration DateJuly 28, 2021
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1952074791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
306 S JOHNSTON ST, White Lake, SD 57383
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Other Names 1

Doing Business AsWhite Lake Medical Clinic Avera

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
Clinic/Center (Rural Health)
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 1952074791. It was assigned to this organization in the NPPES registry on July 28, 2021. 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 Family Medicine with taxonomy code 207Q00000X.

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.