MOBRIDGE REGIONAL HOSPITAL (NPI# 1720237548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720237548 |
| Entity Type | Organization |
| Organization Name | MOBRIDGE REGIONAL HOSPITAL |
| Practice Address |
1401 10th Ave W Mobridge SD 57601-1106 |
| Practice Telephone | 6058453692 |
| Practice Fax Number | 6058458252 |
| Mailing Telephone | 6058453692 |
| Mailing Fax Number | 6058458252 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | MS. RENAE LEE TISDALL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6058453692 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 48404 | SD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5102080 | 05 |
| 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 |
| 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 |
1401 10TH AVE W |
| City | MOBRIDGE |
| State | SD |
| Zip Code | 57601-1106 |
| 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 |
| 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 |
| 1639211527 | Mobridge Regional Hospital | General Acute Care Hospital | 1401 10th Ave W, Mobridge, SD 57601-1106 | 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457720476 | The Support Circle, Inc | Community/Behavioral Health | 321 2nd Ave E, Mobridge, SD 57601-2617 | 2015-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508496258 | Restored To New Life Services, LLC | Community/Behavioral Health | 225 E 11th St Ste 206, Sioux Falls, SD 57104-6482 | 2020-01-22 |
| 1376015123 | Practical Christian Counseling, Inc. | Community/Behavioral Health | 1351 Jolly Ln, Rapid City, SD 57703-4763 | 2018-12-18 |
| 1215476577 | Belle Fourche Counseling, LLC | Community/Behavioral Health | 515 National St Ste 103, Belle Fourche, SD 57717-1833 | 2017-02-20 |
| 1982149027 | Nativecare | Community/Behavioral Health | 270 East 3rd, Mission, SD 57555-0403 | 2016-12-28 |
| 1588022206 | Moore Counseling Services | Community/Behavioral Health | 808 Nw 3rd St, Madison, SD 57042-2518 | 2016-02-09 |
| 1992199988 | Suzette Wasvick Counseling Services | Community/Behavioral Health | 268 East Main Street, Hill City, SD 57745 | 2015-03-27 |
| 1891123956 | Compass Counseling and Assessments Inc. | Community/Behavioral Health | 103 19th St Ne, Watertown, SD 57201-2823 | 2013-10-28 |
| 1235476466 | Bartels Counseling Services, Inc. | Community/Behavioral Health | 101 W 69th St Ste 100, Sioux Falls, SD 57108-2440 | 2013-01-08 |
| 1851640718 | Audra Malcomb Consulting Inc | Community/Behavioral Health | 1929 Red Dale Dr, Rapid City, SD 57702-3231 | 2012-09-06 |
| 1861788143 | Sioux Falls Treatment Center | Community/Behavioral Health | 2519 W 8th St, Sioux Falls, SD 57104-5606 | 2011-06-24 |
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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.