| Mobridge Regional Hospital | |
|
1401 10th Ave West Mobridge SD 57601-0850 | |
| (605) 845-3692 | |
| (605) 845-8252 |
| Full Name | Mobridge Regional Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1401 10th Ave West, Mobridge, South Dakota |
| Authorized Official Name and Position | Renae Tisdall (CFO) |
| Authorized Official Contact | 6058458164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobridge Regional Hospital Po Box 580 Mobridge SD 57601-0580 Ph: (605) 845-3692 | Mobridge Regional Hospital 1401 10th Ave West Mobridge SD 57601-0850 Ph: (605) 845-3692 |
| NPI Number | 1871554311 |
|---|---|
| Provider Enumeration Date | 03/31/2006 |
| Last Update Date | 10/06/2016 |
| Medicare PECOS PAC ID | 6507776135 |
|---|---|
| Medicare Enrollment ID | O20031201000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871554311 | NPI | - | NPPES |
| 81325 | Other | SD | BCBS OF SOUTH DAKOTA |
| 5500400 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 48404 (South Dakota) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 48404 (South Dakota) | Primary |
Mobridge Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1309 10th Ave West, Mobridge, SD 57601 Phone: 605-845-3692 Fax: 605-845-8239 | |
Mobridge Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 10th Ave W, Mobridge, SD 57601 Phone: 605-845-7292 Fax: 605-845-7812 | |
Shadow Anesthesia Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 10th Ave W, Mobridge, SD 57601 Phone: 605-845-8271 Fax: 605-845-3502 |