CITY OF BROOKINGS (NPI# 1417039504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417039504 |
| 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 | 6056967728 |
| Mailing Telephone | 6056969000 |
| Mailing Fax Number | 6056967728 |
| Enumeration Date | 2006-10-19 |
| 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 |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | SD | Nursing & Custodial Care Facilities | |
| Y | 314000000X | Skilled Nursing 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 |
| 1073676391 | City of Brookings | Nursing Facility/Intermediate Care Facility | 300 22nd Ave, Brookings, SD 57006-2480 | 2006-12-18 |
| 1700962834 | City of Brookings | General Acute Care Hospital | 300 22nd Ave, Brookings, SD 57006-2480 | 2006-10-31 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851373138 | United Retirement Center | Skilled Nursing Facility | 405 1st Ave, United Living Community, Brookings, SD 57006-1835 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725841 | Lake Norden Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 803 Park Street, Lake Norden, SD 57248-0139 | 2019-05-13 |
| 1902462211 | Ipswich Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 617 Bloemendaal Drive, Ipswich, SD 57451 | 2019-05-13 |
| 1760047252 | Armour Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 106 Braddock Ave, Armour, SD 57313-2157 | 2019-05-09 |
| 1881112290 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 4825 Jericho Way, Rapid City, SD 57702-9694 | 2017-09-06 |
| 1568906386 | Lake Norden Care and Rehabilitation Center LLC | Skilled Nursing Facility | 803 Park St, Lake Norden, SD 57248 | 2016-12-13 |
| 1568835452 | Estelline Nursing and Care Center | Skilled Nursing Facility | 205 E Fjerestad Ave, Estelline, SD 57234-0130 | 2015-11-02 |
| 1740695675 | Northeast Care and Rehabilitation Center Inc | Skilled Nursing Facility | 85 S 1st Ave, Rosholt, SD 57260 | 2014-06-30 |
| 1912254459 | Bethany Lutheran Home | Skilled Nursing Facility | 3008 E Aspen Blvd, Brandon, SD 57005-2202 | 2012-08-14 |
| 1619249075 | Nicholle Marie Gilbertson | Skilled Nursing Facility | 123 Forest Ave, Vermillion, SD 57069-3107 | 2012-02-01 |
| 1841587227 | Edgewood Greenleaf Sisseton | Skilled Nursing Facility | 308 Hillview Rd., Sisseton, SD 57262-2300 | 2011-07-06 |
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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.