| Shadow Anesthesia Services, Llc | |
|
1401 10th Ave W Mobridge SD 57601 | |
| (605) 845-8271 | |
| (605) 845-3502 |
| Full Name | Shadow Anesthesia Services, Llc |
|---|---|
| Speciality | General Acute Care Hospital - Rural |
| Location | 1401 10th Ave W, Mobridge, South Dakota |
| Authorized Official Name and Position | Holly Victoria Lashmet (CHIEF) |
| Authorized Official Contact | 6058453502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Anesthesia Services, Llc 403 10th St E Mobridge SD 57601-1813 Ph: (402) 802-0246 | Shadow Anesthesia Services, Llc 1401 10th Ave W Mobridge SD 57601 Ph: (605) 845-8271 |
| NPI Number | 1871807206 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 07/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871807206 | NPI | - | NPPES |
| 145111 | Medicaid | SD | |
| 200304330 | Medicaid | KS | |
| 11654543 | Other | KS | CAQH |
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 | |
Mobridge Regional Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 10th Ave West, Mobridge, SD 57601 Phone: 605-845-3692 Fax: 605-845-8252 |