Organization
MOBRIDGE REGIONAL HOSPITAL
Active
Other names
Mobridge Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE TISDALL (CFO)
(605) 845-8164
Entity
Organization
Contact information
Practice address
1309 10TH AVE WEST, MOBRIDGE, SD 57601-0520
(605) 845-3692
(605) 845-8239
Mailing address
PO BOX 520, MOBRIDGE, SD 57601-0520
(605) 845-3692
(605) 845-8239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
438500
SD
Other
Enumeration date
03/17/2006
Last updated
01/20/2017
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