Organization
MOBRIDGE REGIONAL HOSPITAL
Active
Other names
Swingbed
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE TISDALL (CFO)
(605) 845-8164
Entity
Organization
Contact information
Practice address
1401 10TH AVE W, MOBRIDGE, SD 57601-0580
(605) 845-3692
(605) 845-8252
Mailing address
1401 10TH AVE W, PO BOX 580, MOBRIDGE, SD 57601-0580
(605) 845-3692
(605) 845-8252
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
48404
SD
282NC0060X
Critical Access Hospital
48404
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159400
—
SD
Enumeration date
02/14/2007
Last updated
10/29/2019
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