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Organization
MOBRIDGE REGIONAL HOSPITAL
Active
Organization
MOBRIDGE REGIONAL HOSPITAL
Active
Other names
Prairie Sunset Village
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENAE LEE TISDALL (CHIEF FINANCIAL OFFICER)
(605) 845-3692
Entity
Organization
Contact information
Practice address
1401 10TH AVE W, MOBRIDGE, SD 57601-1106
(605) 845-3692
(605) 845-8252
Mailing address
1401 10TH AVE W, MOBRIDGE, SD 57601-1106
(605) 845-3692
(605) 845-8252
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
48404
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9571520
—
SD
Enumeration date
02/14/2007
Last updated
08/22/2020
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