CITY OF BROOKINGS NPI 1134558158

NPI Information

NPI: 1134558158
Provider Name: CITY OF BROOKINGS

Doing Business As: AVERA MEDICAL GROUP A DEPARTMENT OF BROOKINGS HEALTH SYSTEM

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
400 22ND AVE
BROOKINGS, SD
ZIP 57006
Phone: (605) 697-9500
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CITY OF BROOKINGS is a multi-specialty clinic center in Brookings, SD. CITY OF BROOKINGS NPI is 1134558158. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Medical Group A Department Of Brookings Health System.

The provider's business location address is:

400 22ND AVE
BROOKINGS, SD
ZIP 57006-450
Phone: (605) 697-9500
Fax: (605) 697-6939

The provider's authorized official is Melissa Wagner .
The authorized official title is Cfo and has the following contact phone number (605) 696-9000.

The enumeration date for this NPI number is 11/12/2013 and was last updated on 4/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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