# MOBRIDGE REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Swingbed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184766073
- **Authorized official:** RENAE TISDALL (CFO)
- **Authorized official phone:** (605) 845-8164

## Contact information

- **Practice address:** 1401 10TH AVE W, MOBRIDGE, SD 57601-0580
- **Practice address phone:** (605) 845-3692
- **Practice address fax:** (605) 845-8252
- **Mailing address:** 1401 10TH AVE W, PO BOX 580, MOBRIDGE, SD 57601-0580
- **Mailing address phone:** (605) 845-3692
- **Mailing address fax:** (605) 845-8252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 48404 | SD | Yes |
| 282NC0060X | Critical Access Hospital | 48404 | SD | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 10/29/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0159400 | — | SD |