SDSU STUDENT HEALTH CLINIC (NPI# 1689801896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689801896 |
| Entity Type | Organization |
| Organization Name | SDSU STUDENT HEALTH CLINIC |
| Other Organization Name | BROOKINGS FAMILY PLANNING CLINIC |
| Practice Address |
N. Campus Drive Wellness Center Brookings SD 57007 |
| Mailing Address |
N. Campus Drive Wellness Center, Box 2818 Brookings SD 57007 |
| Practice Telephone | 6056884157 |
| Mailing Telephone | 6056884157 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | MRS. BRENDA F. ANDERSEN (ASSOCIATE DIRECTOR) |
| Authorized Official Telephone | 6056884157 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | Y |
| Parent Organization Name | SDSU STUDENT HEALTH CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities | ||
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Brookings Family Planning Clinic | Other Name - Individual/Organization |
| Street Address |
N. CAMPUS DRIVE WELLNESS CENTER |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336680826 | Zachary Harbaugh | Specialist/Technologist | South Dakota State University, Brookings, SD 57007 | 2017-03-16 |
| 1396343505 | Kaitlyn Mae Fritz | Family Medicine | Wellness Center 103, Brookings, SD 57007-0001 | 2020-10-12 |
| 1548878432 | Maranna Caroline Gunnerson | Specialist/Technologist | 1004 Campanile Ave, Brookings, SD 57007-0001 | 2020-07-16 |
| 1295362028 | Mary Beth Zwart | Specialist/Technologist | 1004 Campanile Avenue, Brookings, SD 57007-0001 | 2020-03-23 |
| 1427490879 | Joshua B Hawkins | Specialist/Technologist | Sdsu 2820 Hper Ctr, Brookings, SD 57007-0001 | 2013-07-26 |
| 1700166865 | Chelsea Leah Miles | Specialist/Technologist | Sdsu, 2820 Hper Center, Brookings, SD 57007-0001 | 2011-08-22 |
| 1063728079 | Kristin Lynn Johannsen | Specialist/Technologist | S Dakota State University 2820 Hper Ctr, Brookings, SD 57007-0001 | 2010-08-27 |
| 1457682890 | Katharine Marie Leuthold | Specialist/Technologist | Spe 150x, Brookings, SD 57007-0001 | 2010-01-25 |
| 1770812455 | Barbara Kay Olinger | Specialist/Technologist | S Dakota State University Hper Ctr, Box 2820, Brookings, SD 57007-0001 | 2009-12-09 |
| 1821272790 | Debra Ann Burlage | Nurse Practitioner | Wellness Center 154, 2818, Brookings, SD 57007-0001 | 2007-12-27 |
| Find all providers in zip 57007 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629574017 | Tiny Knight Safety and Assurance Inc | Clinic/Center | 202 S Main St Ste 530, Aberdeen, SD 57401-4114 | 2018-04-04 |
Please comment or provide details below to improve the information on SDSU STUDENT HEALTH CLINIC.
| 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.