Organization
MOBRIDGE REGIONAL HOSPITAL
Active
Other names
West Dakota Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE TISDALL (CFO)
(605) 845-8164
Entity
Organization
Contact information
Practice address
906 MAIN ST, TIMBER LAKE, SD 57656
(605) 865-3258
Mailing address
PO BOX 206, TIMBER LAKE, SD 57656-0206
(605) 865-3258
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5341010
—
SD
Enumeration date
03/02/2006
Last updated
10/06/2016
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