# CITY OF BROOKINGS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Medical Group a Department of Brookings Health System
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134558158
- **Authorized official:** MRS. MELISSA WAGNER (CFO)
- **Authorized official phone:** (605) 696-9000

## Contact information

- **Practice address:** 400 22ND AVE, BROOKINGS, SD 57006-2450
- **Practice address phone:** (605) 697-9500
- **Practice address fax:** (605) 697-6939
- **Mailing address:** 300 22ND AVE, BROOKINGS, SD 57006-2480
- **Mailing address phone:** (605) 696-9000
- **Mailing address fax:** (605) 696-7751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/12/2013
- **Last updated:** 04/24/2023
