MOBRIDGE REGIONAL HOSPITAL (NPI# 1841267341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841267341 |
| Entity Type | Organization |
| Organization Name | MOBRIDGE REGIONAL HOSPITAL |
| Other Organization Name | WEST DAKOTA HEALTH CENTER |
| Practice Address |
906 Main St Timber Lake SD 57656 |
| Mailing Address |
Po Box 206 Timber Lake SD 57656-0206 |
| Practice Telephone | 6058653258 |
| Mailing Telephone | 6058653258 |
| Enumeration Date | 2006-03-02 |
| 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 | 5341010 | 05 |
| Other Name | Type Code |
|---|---|
| West Dakota Health Center | 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 |
| 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 |
| 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 |
906 MAIN ST |
| City | TIMBER LAKE |
| State | SD |
| Zip Code | 57656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184834558 | Nicole Lea Hahne | Specialist/Technologist | 906 Main St, Timber Lake, SD 57656 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033486774 | Moreau-grand Electric Cooperative, Inc. | Emergency Response System Companies | 405 Ninth Street, Timber Lake, SD 57656 | 2011-11-23 |
| 1356519078 | Renee Elaine Biegler | Dietitian, Registered | 807 G St., Box 154, Timber Lake, SD 57656 | 2008-02-15 |
| 1043247679 | Timber Lake Ambulance Service Inc | Ambulance | 900 Main St, Timber Lake, SD 57656 | 2006-06-27 |
| 1740376441 | Moreau-grand Electric Cooperative, Inc | Durable Medical Equipment & Medical Supplies | 405 9th St, Timber Lake, SD 57656-0008 | 2006-10-04 |
| 1952501074 | Rae Alison O'leary | Respiratory Therapist, Registered | Hc 64 Box 52, Timber Lake, SD 57656-9740 | 2007-07-18 |
| 1235329053 | Missouri Breaks Medical | Clinic/Center | Hc 64 Box 52, Timber Lake, SD 57656-9740 | 2007-07-27 |
| 1649324435 | West Winds Health Services Inc | Home Health | Hcr 64 Box 30, Timber Lake, SD 57656-9998 | 2007-01-22 |
| 1083696512 | Sheila Schweitzer | Physician Assistant | 801 Main St, Timber Lake, SD 57656-9998 | 2005-11-18 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 | TIMBER LAKE |
| Zip Code | 57656 |
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.