Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mobridge Regional Hospital

Organization Family Medicine Physician · NPI 1275502577

Mobridge Regional Hospital is a Family Medicine Physician in Mobridge, South Dakota. Licensed in South Dakota. Registered with an NPI since 2006.

Licensed in
SD
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1309 10th Ave W
Mobridge, SD 57601-0520
Phone: (605) 845-3692
Fax: (605) 845-8239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 438500 (SD)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1275502577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renae Tisdall — Cfo · (605) 845-8164
Other names Mobridge Medical Clinic
NPI enumeratedMarch 17, 2006
Last updated in NPPESJanuary 20, 2017
Mailing addressPo Box 520, Mobridge, SD 57601-0520

Other providers in Mobridge