Organization · Type 2 NPI

Mobridge Regional Hospital

Rural Health Clinic/Center · Selby, SD

NPI number 1093335333 Active

Practice location

4401 Main St
Selby, SD 57472-2010

Call (605) 649-9999 Map

Mailing address

PO Box 580
Mobridge, SD 57601-0580

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1093335333
Entity type: Organization (Type 2)
Issued: Apr 16, 2020
Last updated: Jan 28, 2021
Status: Active
Subpart: Yes of Mobridge Regional Hospital

Other names

<unavail>
Selby Medical Clinic · doing business as
Selby Medical Clinic · doing business as

Authorized official

John Joseph Ayoub
CEO
(605) 845-8105

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093335333

Mobridge Regional Hospital's National Provider Identifier is 1093335333, issued on Apr 16, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Selby, SD. The record was last updated on Jan 28, 2021.