Healthcare Provider Details
I. General information
NPI: 1922914969
Provider Name (Legal Business Name): 605 MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1130 S BURR ST STE 300
MITCHELL SD
57301-4579
US
IV. Provider business mailing address
1130 S BURR ST STE 300
MITCHELL SD
57301-4579
US
V. Phone/Fax
- Phone: 530-301-8688
- Fax:
- Phone: 530-301-8688
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MEGHAN
JEANE
TORGERSON
Title or Position: OWNER/CNP
Credential: TORGERSON
Phone: 530-301-8688