Family Medical Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICAL CENTER, LLC

Practice address

2200 N Kimball St
Ste 400
Mitchell, SD 57301-1199

Phone

(605) 996-7900

Fax

(605) 996-7908

NPI assigned

Jan 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Theresa M Campbell, MD

Title

President

Phone

(605) 996-7900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1528038171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N KIMBALL ST",
            "address_2": "STE 400",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011199",
            "telephone_number": "605-996-7900",
            "fax_number": "605-996-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N KIMBALL ST",
            "address_2": "STE 400",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011199",
            "telephone_number": "605-996-7900",
            "fax_number": "605-996-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-996-7900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5602054",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5610983",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Ellwein, MS, LPC
• Empres at Mitchell, LLC
• Sylvia Espinoza, LPC
• Charissa Etrheim
• Jenna Everson
• Brett Thomas Farnham, D.D.S.
• Aliece Fawcett, CCC-SLP
• Derek J Ferrie, MD
• Finding Hope Counseling LLC
• Finding Hope Counseling LLC

• Family Medicine Physician in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.