| Mobridge Regional Hospital | |
|
1401 10th Ave W Mobridge SD 57601-1106 | |
| (605) 845-3692 | |
| (605) 845-8252 |
| Full Name | Mobridge Regional Hospital |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 10th Ave W, Mobridge, South Dakota |
| Authorized Official Name and Position | Renae Lee Tisdall (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6058453692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobridge Regional Hospital 1401 10th Ave W Mobridge SD 57601-1106 Ph: (605) 845-3692 | Mobridge Regional Hospital 1401 10th Ave W Mobridge SD 57601-1106 Ph: (605) 845-3692 |
| NPI Number | 1720237548 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720237548 | NPI | - | NPPES |
| 5102080 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 48404 (South Dakota) | Primary |
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