MOBRIDGE REGIONAL HOSPITAL NPI 1841267341

NPI Information

NPI: 1841267341
Provider Name: MOBRIDGE REGIONAL HOSPITAL

Doing Business As: WEST DAKOTA HEALTH CENTER

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

Specialization: Rural Health

Address:
906 MAIN ST
TIMBER LAKE, SD
ZIP 57656
Phone: (605) 865-3258
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MOBRIDGE REGIONAL HOSPITAL is a rural health clinic center in Timber Lake, SD. MOBRIDGE REGIONAL HOSPITAL NPI is 1841267341. The provider is registered as an organization entity type.
The provider Is Doing Business As West Dakota Health Center.

The provider's business location address is:

906 MAIN ST
TIMBER LAKE, SD
ZIP 57656
Phone: (605) 865-3258

The provider's authorized official is Renae Tisdall .
The authorized official title is Cfo and has the following contact phone number (605) 845-8164.

The CLIA number assigned to this NPI record is 43D0914404 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/2/2006 and was last updated on 10/6/2016.

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	261QR1300X	Clinic/Center	Rural Health			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	5341010	MEDICAID	SOUTH DAKOTA
2	433995	MEDICARE OSCAR/CERTIFICATION	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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