Organization · NPI-2
Family Medical Center, LLC
Family Medicine · Mitchell, SD
NPI number1528038171
StatusActive
Last updated in NPPESFeb 19, 2010
Details
- NPI
- 1528038171
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Medical Center, LLC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2006
- Last updated
- Feb 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2200 N Kimball StSte 400
Mitchell, SD 57301-1199
Phone 605-996-7900 · Fax 605-996-7908
Mailing address
2200 N Kimball StSte 400
Mitchell, SD 57301-1199
Phone 605-996-7900 · Fax 605-996-7908
Authorized official
Theresa M Campbell
President
6059967900
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