Organization
FAMILY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA M CAMPBELL MD (PRESIDENT)
(605) 996-7900
Entity
Organization
Contact information
Practice address
2200 N KIMBALL ST, STE 400, MITCHELL, SD 57301-1199
(605) 996-7900
(605) 996-7908
Mailing address
2200 N KIMBALL ST, STE 400, MITCHELL, SD 57301-1199
(605) 996-7900
(605) 996-7908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5602054
—
SD
05
—
5610983
—
SD
Enumeration date
01/25/2006
Last updated
02/19/2010
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