CITY OF BROOKINGS NPI 1982057246

NPI Information

NPI: 1982057246
Provider Name: CITY OF BROOKINGS

Doing Business As: AVERA MEDICAL GROUP SPECIALTY CARE BROOKINGS A DEPARTMENT OF BROOKINGS

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

Specialization: Multi-Specialty

Address:
310 22ND AVENUE
BROOKINGS, SD
ZIP 57006
Phone: (605) 696-9000
Get Directions

CITY OF BROOKINGS is a multi-specialty clinic center in Brookings, SD. CITY OF BROOKINGS NPI is 1982057246. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Medical Group Specialty Care Brookings A Department Of Brookings.

The provider's business location address is:

310 22ND AVENUE
BROOKINGS, SD
ZIP 57006
Phone: (605) 696-9000

The provider's authorized official is Jason Merkley .
The authorized official title is Ceo and has the following contact phone number (605) 696-8010.

The CLIA number assigned to this NPI record is 43D0406778 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/21/2016 and was last updated on 8/3/2016.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	430008	MEDICARE PIN	SOUTH DAKOTA

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: 11/14/2023

NPI Synchronization or Removal

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