Organization
MOBRIDGE REGIONAL HOSPITAL
Active
Other names
West River Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE TISDALL (CFO)
(605) 845-8164
Entity
Organization
Contact information
Practice address
103 1ST AVE EAST, MC LAUGHLIN, SD 57642-0520
(605) 823-4253
Mailing address
PO BOX 520, MC LAUGHLIN, SD 57642-0520
(605) 823-4253
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5300702
—
SD
Enumeration date
03/03/2006
Last updated
10/06/2016
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