MOBRIDGE REGIONAL HOSPITAL (NPI# 1457328841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457328841 |
| Entity Type | Organization |
| Organization Name | MOBRIDGE REGIONAL HOSPITAL |
| Other Organization Name | WEST RIVER HEALTH CLINIC |
| Practice Address |
103 1st Ave East Mc Laughlin SD 57642-0520 |
| Mailing Address |
Po Box 520 Mc Laughlin SD 57642-0520 |
| Practice Telephone | 6058234253 |
| Mailing Telephone | 6058234253 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | RENAE TISDALL (CFO) |
| Authorized Official Telephone | 6058458164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5300702 | 05 |
| Other Name | Type Code |
|---|---|
| West River Health Clinic | 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 |
| 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 |
| 1184766073 | Mobridge Regional Hospital | General Acute Care Hospital | 1401 10th Ave W, Mobridge, SD 57601-0580 | 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 |
103 1ST AVE EAST |
| City | MC LAUGHLIN |
| State | SD |
| Zip Code | 57642-0520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661594 | Xandria Khrystynne Perman | Dentist | 611 2nd Ave East, Mclaughlin, SD 57642 | 2020-08-28 |
| 1043763634 | Joshua Oliver | Pharmacist | 701 E. 6th Street, Mclaughlin, SD 57642 | 2016-07-29 |
| 1700260205 | Zachary Isaiah Perman | Dentist | 611 2nd Avenue East, Mclaughlin, SD 57642 | 2015-07-14 |
| 1144380866 | Tawa M Witko | Psychologist | 701 E 6th St, Mclaughlin Clinic, Mclaughlin, SD 57642 | 2006-12-11 |
| 1508830274 | Jessica Y Norder | Nurse Practitioner | 103 1st Avenue East, Mc Laughlin, SD 57642 | 2006-02-17 |
| 1720518681 | Brea Norder | Registered Nurse | 701 E 6th St, Mclaughlin, SD 57642 | 2017-06-14 |
| 1659747012 | Mclaughlin Health Center | Clinic/Center | 701 E. 6th St., Mclaughlin, SD 57642 | 2015-08-19 |
| 1154565471 | Rita Faye Bordeaux | Registered Nurse | 701 E. 6th St., Box879, Mclaughlin, SD 57642 | 2009-04-30 |
| 1861633075 | Jeffrey Mowrer | Counselor | 701 East 6th Street, Box 879, Mclaughlin, SD 57642 | 2009-03-18 |
| 1154577674 | Jamie Lynn Giroux | Registered Nurse | 701 East 6th Street, Mclaughlin, SD 57642 | 2008-08-15 |
| Find all providers in zip 57642 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447803432 | City of Brookings | Clinic/Center | 104 1/2 West 2nd Street, Elkton, SD 57026 | 2019-07-19 |
| 1477942878 | Platte Community Memorial Hospital, Inc | Clinic/Center | 306 S Johnston St, White Lake, SD 57383-2251 | 2015-01-22 |
| 1003230541 | Regional Health Physicians, Inc. | Clinic/Center | 112 7th Avenue, Wall, SD 57790 | 2014-02-04 |
| 1912279829 | City of Brookings | Clinic/Center | 302 E 5th Street, White, SD 57276-2061 | 2012-02-08 |
| 1902187032 | Community Memorial Hospital Inc | Clinic/Center | 314 Mellette St, Bonesteel, SD 57317 | 2011-09-02 |
| 1609013317 | Douglas County Memorial Hospital | Clinic/Center | 310 W Sd Highway 46, Wagner, SD 57380-9304 | 2009-01-16 |
| 1750422655 | Regional Health Physicians Inc | Clinic/Center | 114 E Main Street, Hill City, SD 57745 | 2007-02-12 |
| 1326189754 | Regional Health Physicians Inc | Clinic/Center | 101 E. Third St., Newell, SD 57760 | 2007-02-09 |
| 1609931518 | Sioux Valley Clinic | Clinic/Center | 600 W Cedar Street (highway 46), Beresford, SD 57004 | 2006-12-22 |
| 1588677892 | Avera Mckennan | Clinic/Center | 305 N 2nd Ave, Revillo, SD 57259-0006 | 2006-08-15 |
| Find all providers with the same taxonomy | ||||
| City | MC LAUGHLIN |
| Zip Code | 57642 |
Please comment or provide details below to improve the information on MOBRIDGE REGIONAL HOSPITAL.
| 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.