SDSU STUDENT HEALTH CLINIC NPI 1689801896

NPI Information

SDSU STUDENT HEALTH CLINIC is a student health clinic center in Brookings, SD. SDSU STUDENT HEALTH CLINIC NPI is 1689801896. The provider is registered as an organization entity type.
The provider Other Name Is Brookings Family Planning Clinic.

The provider's business location address is:

N. CAMPUS DRIVE
WELLNESS CENTER
BROOKINGS, SD
ZIP 57007
Phone: (605) 688-4157

The provider's authorized official is Brenda F. Andersen .
The authorized official title is Associate Director and has the following contact phone number (605) 688-4157.

The CLIA number assigned to this NPI record is 43D0041437 - school/student health service with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/15/2009 and was last updated on 6/15/2009.

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:

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