Organization · Type 2 NPI

Sdsu Student Health Clinic

Student Health Clinic/Center · Brookings, SD

NPI number 1689801896 Active

Practice location

N. Campus Drive, Wellness Center
Brookings, SD 57007

Specialties and licenses

Taxonomy	Code	License
Non-Surgical Family Planning Clinic/Center	261QF0050X	None listed
Student Health Clinic/Center Primary	261QS1000X	None listed

Student Health Clinic/Center: Definition to come...

NPI record

NPI: 1689801896
Entity type: Organization (Type 2)
Issued: Jun 15, 2009
Last updated: Jun 15, 2009
Status: Active
Subpart: Yes of Sdsu Student Health Clinic

Other names

<unavail>
Brookings Family Planning Clinic · other name

Authorized official

Mrs. Brenda F. Andersen, CNP
Associate Director
(605) 688-4157

Verify this record

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.

Is this your record? How to update it.

About NPI 1689801896

Sdsu Student Health Clinic's National Provider Identifier is 1689801896, issued on Jun 15, 2009. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Brookings, SD. The record was last updated on Jun 15, 2009.