MOBRIDGE REGIONAL HOSPITAL NPI 1093335333

NPI Information

NPI: 1093335333
Provider Name: MOBRIDGE REGIONAL HOSPITAL

Doing Business As: SELBY MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
4401 MAIN ST
SELBY, SD
ZIP 57472
Phone: (605) 649-9999
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MOBRIDGE REGIONAL HOSPITAL is a rural health clinic center in Selby, SD. MOBRIDGE REGIONAL HOSPITAL NPI is 1093335333. The provider is registered as an organization entity type.
The provider Is Doing Business As Selby Medical Clinic.

The provider's business location address is:

4401 MAIN ST
SELBY, SD
ZIP 57472-010
Phone: (605) 649-9999

The provider's authorized official is John Joseph Ayoub .
The authorized official title is Ceo and has the following contact phone number (605) 845-8105.

The CLIA number assigned to this NPI record is 43D0407818 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/16/2020 and was last updated on 1/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			No
2	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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