MOBRIDGE REGIONAL HOSPITAL NPI 1710029608

NPI Information

NPI: 1710029608
Provider Name: MOBRIDGE REGIONAL HOSPITAL

Other Name: PRAIRIE SUNSET VILLAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1401 10TH AVE W
MOBRIDGE, SD
ZIP 57601
Phone: (605) 845-3692
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MOBRIDGE REGIONAL HOSPITAL is an assisted living facility in Mobridge, SD. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MOBRIDGE REGIONAL HOSPITAL NPI is 1710029608. The provider is registered as an organization entity type.
The provider Other Name Is Prairie Sunset Village.

The provider's business location address is:

1401 10TH AVE W
MOBRIDGE, SD
ZIP 57601-106
Phone: (605) 845-3692
Fax: (605) 845-8252

The provider's authorized official is Renae Lee Tisdall .
The authorized official title is Chief Financial Officer and has the following contact phone number (605) 845-3692.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/22/2020.

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	310400000X	Assisted Living Facility		48404	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9571520	MEDICAID	SOUTH DAKOTA

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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