Organization
CITY OF MITCHELL
Active
Parent organization
CITY OF MITCHELL
Other names
Mitchell Regional Ambulance
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF MITCHELL
Authorized official
MICHELLE BATHKE (DEPUTY FINANCE OFFICER)
(605) 995-8420
Entity
Organization
Contact information
Practice address
201 W 1ST AVE, MITCHELL, SD 57301-2620
(605) 995-8400
(605) 995-8486
Mailing address
612 N MAIN ST, MITCHELL, SD 57301-2620
(605) 995-8479
(605) 995-8054
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
081
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007540
BLUE CROSS OF SD
SD
01
—
24812
SIOUX VALLEY HEALTH PLAN
SD
05
—
9010860
—
SD
01
—
9176902
DAKOTA CARE
SD
05
—
924692400
—
MN
Enumeration date
06/30/2005
Last updated
06/23/2008
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