Active NPI
Mitchell Clinic LTD
- Family Medicine Physician
- Mitchell, SD
National Provider Identifier
1669410627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0178
- Legal business name
- MITCHELL CLINIC LTD
- Practice address
- 818 W Havens St
Mitchell, SD 57301-3830 - Phone
- (605) 996-7526
- Fax
- (605) 996-1808
- NPI assigned
- Jun 3, 2006
- Last updated
- Oct 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tiffany M Kummer
- Title
- Office Manager
- Phone
- (605) 996-7526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0178 | SD | Primary |
Addresses
Primary practice location
818 W Havens St
Mitchell, SD 57301-3830
Mailing address
818 W Havens
Mitchell, SD 57301-3830
Phone (605) 996-7526
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569888000000",
"number": "1669410627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 W HAVENS",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573013830",
"telephone_number": "605-996-7526",
"fax_number": "605-996-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 W HAVENS ST",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573013830",
"telephone_number": "605-996-7526",
"fax_number": "605-996-1808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL CLINIC LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2019-10-01",
"status": "A",
"authorized_official_last_name": "KUMMER",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "605-996-7526",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "0178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mitchell, SD
- Jai Mimmack
- Paul R Miskimins, DDS
- Mitchell Anesthesia PC
- Mitchell Bone and Joint Surgery
- Mitchell Chiropractic & Acupuncture Center, P.C.
- Mitchell Dental Clinic LLC (The Dental Clinic)
- Mitchell Diagnostic
- Mitchell Family Practice, PC
- Mitchell Healthcare, LLC (Firesteel Healthcare Center)
- Mitchell Retirement (Countryside Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.