Organization · Type 2 NPI

City of Brookings

Multi-Specialty Clinic/Center · Brookings, SD

NPI number 1134558158 Active

Practice location

400 22nd Ave
Brookings, SD 57006-2450

Call (605) 697-9500 Map

Fax (605) 697-6939

Mailing address

300 22nd Ave
Brookings, SD 57006-2480

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

50 other providers at this address

Other multi-specialty clinic/center providers in Brookings

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NPI record

NPI: 1134558158
Entity type: Organization (Type 2)
Issued: Nov 12, 2013
Last updated: Apr 24, 2023
Status: Active

Other names

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Avera Medical Group A Department of Brookings Health System · doing business as
Avera Medical Group A Department of Brookings Health System · doing business as

Authorized official

Mrs. Melissa Wagner
CFO
(605) 696-9000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134558158

City of Brookings's National Provider Identifier is 1134558158, issued on Nov 12, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Brookings, SD. The record was last updated on Apr 24, 2023.