City of Mitchell

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

081 Issued in SD

Legal business name

CITY OF MITCHELL

Doing business as

Mitchell Regional Ambulance

Practice address

201 W 1St Ave
Mitchell, SD 57301-2620

Phone

(605) 995-8400

Fax

(605) 995-8486

NPI assigned

Jun 30, 2005

Organization subpart

Yes

Parent organization

CITY OF MITCHELLAs reported in NPPES

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

Authorized official

Name

Michelle Bathke

Title

Deputy Finance Officer

Phone

(605) 995-8420

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Mitchell Regional Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

City of Mitchell3 organizations share this tax ID, including this one

Part of

City of Mitchell

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• City of Mitchell

  dba Mitchell Nutrition Program

  • Home Delivered Meals
  • Mitchell, SD
  • NPI 1841457090
  NPD tax ID
• City of Mitchell/Palace Transit

  • Bus
  • Mitchell, SD
  • NPI 1063684587
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• City of Mitchell

  dba Mitchell Nutrition Program

  • Home Delivered Meals
  • Mitchell, SD
  • NPI 1841457090
  NPPES parent name

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1992702435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N MAIN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012620",
            "telephone_number": "605-995-8479",
            "fax_number": "605-995-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 1ST AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012620",
            "telephone_number": "605-995-8400",
            "fax_number": "605-995-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MITCHELL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF MITCHELL",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BATHKE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DEPUTY FINANCE OFFICER",
        "authorized_official_telephone_number": "605-995-8420"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SD",
            "license": "081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010860",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "924692400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF SD",
            "identifier": "0007540",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "24812",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "9176902",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Regional Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew D Christiansen, PHD
• Melodie Christman, MS OTR/L
• Cimpl Counseling LLC
• Linda Marie Cimpl, MS,NCC,LPC-MH
• City of Mitchell (Mitchell Nutrition Program)
• City of Mitchell/Palace Transit
• Erika Nicole Clark, OTD, OTR/L
• Jessica Claussen, MD
• Collaborative Solutions, LLC
• Complete Wellness Clinic, Inc.

• Land Ambulance in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Land Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.