Organization
CITY OF BROOKINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA WAGNER (CFO)
(605) 696-9000
Entity
Organization
Contact information
Practice address
210 KASAN AVE, VOLGA, SD 57071
(605) 627-5701
Mailing address
300 22ND AVE, BROOKINGS, SD 57006-2480
(605) 696-9000
(605) 696-7751
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/04/2018
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