Organization Active NPI

Mitchell Clinic LTD

  • Family Medicine Physician
  • Mitchell, SD
National Provider Identifier
1669410627
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0178 Issued in SD
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.