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Organization
SDSU STUDENT HEALTH CLINIC
Active
Organization
SDSU STUDENT HEALTH CLINIC
Active
Parent organization
SDSU STUDENT HEALTH CLINIC
Other names
Brookings Family Planning Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SDSU STUDENT HEALTH CLINIC
Authorized official
MRS. BRENDA F. ANDERSEN CNP (ASSOCIATE DIRECTOR)
(605) 688-4157
Entity
Organization
Contact information
Practice address
N. CAMPUS DRIVE, WELLNESS CENTER, BROOKINGS, SD 57007
(605) 688-4157
Mailing address
N. CAMPUS DRIVE, WELLNESS CENTER, BOX 2818, BROOKINGS, SD 57007
(605) 688-4157
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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