CITY OF BROOKINGS (NPI# 1073676391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073676391 |
| Entity Type | Organization |
| Organization Name | CITY OF BROOKINGS |
| Other Organization Name | BROOKINGS HEALTH SYSTEM |
| Practice Address |
300 22nd Ave Brookings SD 57006-2480 |
| Practice Telephone | 6056969000 |
| Practice Fax Number | 6056967758 |
| Mailing Telephone | 6056969000 |
| Mailing Fax Number | 6056967758 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | MRS. MELISSA WAGNER (CFO) |
| Authorized Official Telephone | 6056969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 10600 | SD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0150140 | 05 |
| Other Name | Type Code |
|---|---|
| Brookings Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447803432 | City of Brookings | Clinic/Center | 104 1/2 West 2nd Street, Elkton, SD 57026 | 2019-07-19 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1912279829 | City of Brookings | Clinic/Center | 302 E 5th Street, White, SD 57276-2061 | 2012-02-08 |
| 1275515579 | City of Brookings | General Acute Care Hospital | 300 22nd Ave, Brookings, SD 57006-2474 | 2005-11-14 |
| 1811318074 | City of Brookings | Clinic/Center | 210 Kasan Ave, Volga, SD 57071 | 2013-12-13 |
| 1134558158 | City of Brookings | Clinic/Center | 400 22nd Ave, Brookings, SD 57006-2450 | 2013-11-12 |
| 1902123581 | City of Brookings | Clinic/Center | 104 W Birch, Arlington, SD 57212 | 2010-04-22 |
| 1700962834 | City of Brookings | General Acute Care Hospital | 300 22nd Ave, Brookings, SD 57006-2480 | 2006-10-31 |
| 1417039504 | City of Brookings | Nursing Facility/Intermediate Care Facility | 300 22nd Ave, Brookings, SD 57006-2480 | 2006-10-19 |
| 1932281029 | City of Brookings | Anesthesiology | 300 22nd Ave, Brookings, SD 57006-2480 | 2006-10-19 |
| Street Address |
300 22ND AVE |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57006-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275515579 | City of Brookings | General Acute Care Hospital | 300 22nd Ave, Brookings, SD 57006-2474 | 2005-11-14 |
| 1437712460 | Gavin Weber | Physical Therapist | 300 22nd Ave, Brookings, SD 57006-2480 | 2019-04-16 |
| 1871156802 | Ashley Daniels | Physical Therapy Assistant | 300 22nd Ave, Brookings, SD 57006-2480 | 2019-04-16 |
| 1598223224 | Laura Crooks | Occupational Therapy Assistant | 300 22nd Ave, Brookings, SD 57006-2480 | 2019-03-12 |
| 1629536354 | Jamie M Halvorson | Occupational Therapist | 300 22nd Ave, Brookings, SD 57006-2480 | 2019-03-12 |
| 1629429527 | Amber Overby | Nurse Anesthetist, Certified Registered | 300 22nd Ave, Brookings, SD 57006-2480 | 2016-06-22 |
| 1891055174 | Avera Mckennan | Clinic/Center | 300 22nd Ave, Suite 101, Brookings, SD 57006-2480 | 2012-05-21 |
| 1144598889 | Shannon Medenwald | Dietitian, Registered | 300 22nd Ave, Brookings, SD 57006-2480 | 2011-12-08 |
| 1396061016 | Jada Kahl | Occupational Therapist | 300 22nd Ave, Brookings, SD 57006-2480 | 2010-04-20 |
| 1003060146 | Brookings Health System | General Acute Care Hospital | 300 22nd Ave, Brookings, SD 57006-2480 | 2008-11-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
| 1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
| 1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
| Find all providers in zip 57006 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417039504 | City of Brookings | Nursing Facility/Intermediate Care Facility | 300 22nd Ave, Brookings, SD 57006-2480 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952646523 | Rosebud Ihs Hospital | Nursing Facility/Intermediate Care Facility | Bia Soldier Creek Road, Rosebud, SD 57570-0400 | 2012-12-07 |
| 1306029137 | Va Hospital | Nursing Facility/Intermediate Care Facility | 532 Aana Ave, Baltic, SD 57003-2033 | 2007-12-15 |
| 1770780140 | Kadoka Nursing Home Ass. | Nursing Facility/Intermediate Care Facility | 103 Maple St, W, Kadoka, SD 57543-0310 | 2007-06-29 |
| 1841418621 | Indian Health Services | Nursing Facility/Intermediate Care Facility | Ihs Main St, Eagle Butte, SD 57625 | 2007-04-24 |
| 1801932421 | Abbott Northwestern | Nursing Facility/Intermediate Care Facility | 46866 240th St, Colman, SD 57017-6209 | 2007-01-30 |
| 1750431599 | City of Hosmer | Nursing Facility/Intermediate Care Facility | 307 East Main Street, Hosmer, SD 57448 | 2007-01-12 |
| 1811065618 | Weskota Manor, Inc. | Nursing Facility/Intermediate Care Facility | 608 1st St Ne, Wessington Springs, SD 57382-2134 | 2006-12-01 |
| 1154406569 | Platte Community Memorial Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 601 E. 7th Street, Platte, SD 57369 | 2006-10-25 |
| 1225074164 | Dell Rapids Nrsg. Home Inc. | Nursing Facility/Intermediate Care Facility | 1400 Thresher Dr, Dell Rapids, SD 57022-1049 | 2006-06-21 |
| 1790756963 | Avera Gettysburg | Nursing Facility/Intermediate Care Facility | 700 E Garfield Ave, Gettysburg, SD 57442-1327 | 2006-01-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.