Organization
MOBRIDGE REGIONAL HOSPITAL
Active
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
251S00000X
Community/Behavioral Health Agency
Primary
48404
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5102080
—
SD
Enumeration date
09/17/2008
Last updated
09/17/2008
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