MOBRIDGE REGIONAL HOSPITAL (NPI# 1184766073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184766073 |
| Entity Type | Organization |
| Organization Name | MOBRIDGE REGIONAL HOSPITAL |
| Other Organization Name | SWINGBED |
| Practice Address |
1401 10th Ave W Mobridge SD 57601-0580 |
| Mailing Address |
1401 10th Ave W Po Box 580 Mobridge SD 57601-0580 |
| Practice Telephone | 6058453692 |
| Practice Fax Number | 6058458252 |
| Mailing Telephone | 6058453692 |
| Mailing Fax Number | 6058458252 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | RENAE TISDALL (CFO) |
| Authorized Official Telephone | 6058458164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
48404 | SD | Hospitals |
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 48404 | SD | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0159400 | 05 |
| Other Name | Type Code |
|---|---|
| Swingbed | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871554311 | Mobridge Regional Hospital | Clinic/Center | 1401 10th Ave West, Mobridge, SD 57601-0850 | 2006-03-31 |
| 1275502577 | Mobridge Regional Hospital | Family Medicine | 1309 10th Ave West, Mobridge, SD 57601-0520 | 2006-03-17 |
| 1457328841 | Mobridge Regional Hospital | Clinic/Center | 103 1st Ave East, Mc Laughlin, SD 57642-0520 | 2006-03-03 |
| 1093335333 | Mobridge Regional Hospital | Clinic/Center | 4401 Main St, Selby, SD 57472-2010 | 2020-04-16 |
| 1720237548 | Mobridge Regional Hospital | Community/Behavioral Health | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2008-09-17 |
| 1902948896 | Mobridge Regional Hospital | General Acute Care Hospital | 1401 10th Ave W, Mobridge, SD 57601 | 2007-02-14 |
| 1639211527 | Mobridge Regional Hospital | General Acute Care Hospital | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2007-02-14 |
| 1992847883 | Mobridge Regional Hospital | General Acute Care Hospital | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2007-02-14 |
| 1710029608 | Mobridge Regional Hospital | Assisted Living Facility | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2007-02-14 |
| 1356483242 | Mobridge Regional Hospital | General Acute Care Hospital | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOBRIDGE REGIONAL HOSPITAL INCORPORATED | 1401 10th Ave W, Mobridge, SD 57601-1106 |
| Street Address |
1401 10TH AVE W |
| City | MOBRIDGE |
| State | SD |
| Zip Code | 57601-0580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326035429 | Diane Habbena Dady | Pharmacist | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2005-10-04 |
| 1114586559 | Anette Hollenbeck | Nurse Practitioner | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2019-06-10 |
| 1902318710 | Leslee Jean Graff | Physician Assistant | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2017-11-02 |
| 1407146202 | Kaylee M Lang | Occupational Therapist | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2011-04-13 |
| 1871807206 | Shadow Anesthesia Services, LLC | Clinic/Center | 1401 10th Ave W, Mobridge, SD 57601 | 2010-07-27 |
| 1720237548 | Mobridge Regional Hospital | Community/Behavioral Health | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2008-09-17 |
| 1245499086 | James Curran | Nurse Anesthetist, Certified Registered | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2008-06-06 |
| 1659572865 | Amy Cerney | Physical Therapist | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2007-05-29 |
| 1295945715 | Nathan Bauer | Physical Therapist | 1401 10th Ave W, Mobridge, SD 57601-1106 | 2007-05-23 |
| 1902948896 | Mobridge Regional Hospital | General Acute Care Hospital | 1401 10th Ave W, Mobridge, SD 57601 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881761096 | Alfred T Smith | Counselor | 1245 Hwy 1806th, Mobridge, SD 57601 | 2006-11-30 |
| 1912078429 | Carmen J. Cutt | Counselor | 12451 Highway 1806, Mobridge, SD 57601 | 2006-11-13 |
| 1629090162 | Craig Dockter | Optometrist | 1315 10th Ave, Mobridge, SD 57601 | 2006-07-24 |
| 1437786373 | Courtney M Nicholson | Counselor | 12451 Hwy 1806, Mobridge, SD 57601 | 2020-03-23 |
| 1922634062 | Mary Lerae Herman | Registered Nurse | 12451 Hwy 1806, Mobridge, SD 57601 | 2020-03-20 |
| 1063870194 | Karen Fryhling | Nurse Practitioner | 1309 10th Ave W, Mobridge, SD 57601 | 2016-02-03 |
| 1508271115 | Matthew Jacob Schaffer | Family Medicine | 1309 10th Ave W, Mobridge, SD 57601 | 2014-06-23 |
| 1902051162 | Celeste Anne Karzon | Specialist | 12451 Hwy 1806, Mobridge, SD 57601 | 2008-12-01 |
| 1598975997 | Roxann Dakota Spottedeagle | Counselor | 12451 Hwy 1806, Mobridge, SD 57601 | 2007-05-23 |
| 1518022185 | Amy J Yellow | Counselor | 12451 Hwy 1806, Mobridge, SD 57601 | 2006-12-26 |
| Find all providers in zip 57601 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713457 | Avera St Marys | Medicare Defined Swing Bed Unit | 801 East Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| 1265467245 | Pioneer Memorial Hospital & Health Services | Medicare Defined Swing Bed Unit | 315 N Washington Street, Viborg, SD 57070-0368 | 2006-07-11 |
| 1205803160 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1220 Montgomery St, Custer, SD 57730-1705 | 2006-02-28 |
| 1861466898 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1440 N Main St, Spearfish, SD 57783-1505 | 2006-02-15 |
| 1144292244 | City of Redfield | Medicare Defined Swing Bed Unit | 111 West 10th Ave, Redfield, SD 57469-1519 | 2006-02-02 |
| 1417215740 | Avera Mckennan | Medicare Defined Swing Bed Unit | 400 Park Ave, Gregory, SD 57533-1302 | 2012-04-24 |
| 1366611402 | Avera Mckennan | Medicare Defined Swing Bed Unit | 300 W 5th St, Miller, SD 57362-1238 | 2008-02-22 |
| 1255500534 | Avera Queen of Peace | Medicare Defined Swing Bed Unit | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2008-02-21 |
| 1679635239 | Huron Regional Medical Center | Medicare Defined Swing Bed Unit | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2006-12-13 |
| 1407918063 | Huron Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 172 4th St Se, Huron, SD 57350-2510 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.