SELBY MEDICAL CLINIC
NPI 1093335333
Clinic/Center - Rural Health in Selby, SD

Active since April 16, 2020CLIA Certified · 2 labs

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2021, Jun 1, 2020, May 11, 2020 and 1 more (4 updates tracked since 2020).

About Selby Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELBY MEDICAL CLINIC (NPI 1093335333) is a healthcare organization registered as a rural health in Selby, South Dakota and active in the NPI registry since April 2020. The organization holds 2 active CLIA laboratory certificates and lists John Joseph Ayoub, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093335333
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOBRIDGE REGIONAL HOSPITAL
Location Address4401 MAIN STSelby, SD 57472-2010
Mailing AddressPo Box 580Mobridge, SD 57601-0580 · (605) 649-9999
Organization SubpartYes
Authorized OfficialJohn Joseph AyoubCeo · (605) 845-8105
Enumeration DateApril 16, 2020
Last NPPES UpdateJanuary 28, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2021
NPI 1093335333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
4401 MAIN ST, Selby, SD 57472

Other Names 1

Doing Business AsSelby Medical Clinic

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D2183203

Selby Medical Clinic · Selby, SD
Active · expires Apr 30, 2028
CLIA Number43D2183203
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorEmily Boden
Laboratory Phone(605) 649-9999
Laboratory LocationSelby Medical Clinic4401 Main St, Selby, SD 57472
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 43D0407818

Mobridge Regional Hospital · Mobridge, SD
Active · expires Jun 22, 2027
CLIA Number43D0407818
Laboratory TypeHospital
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorWesley Ellison MD
Laboratory Phone(605) 845-8196
Laboratory LocationMobridge Regional Hospital1401 10th Ave West PO Box 580, Mobridge, SD 57601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4401 MAIN ST
SELBY, SD 57472
Physician Assistant
4401 MAIN ST
SELBY, SD 57472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mobridge Regional Hospital's NPI number?

The NPI number for Mobridge Regional Hospital is 1093335333. It was assigned to this organization in the NPPES registry on April 16, 2020. The provider is doing business as Selby Medical Clinic.

Where is Mobridge Regional Hospital located?

Mobridge Regional Hospital is located at 4401 Main St, Selby, SD 57472. The listed phone number is (605) 649-9999.

What is Mobridge Regional Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mobridge Regional Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mobridge Regional Hospital accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Mobridge Regional Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mobridge Regional Hospital was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.