Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jai Mimmack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104755883

Jai Mimmack is a Student in an Organized Health Care Education/Training Program in Mitchell, South Dakota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1809 N Wisconsin St
Mitchell, SD 57301-1067
Phone: (605) 990-3733
Fax: (605) 990-3733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104755883
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1809 N Wisconsin St, Mitchell, SD 57301-1067

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