AVERA MEDICAL GROUP SPECIALTY CARE BROOKINGS A DEPARTMENT OF BROOKINGS – NPI #1982057246
Clinic/Center

AVERA MEDICAL GROUP SPECIALTY CARE BROOKINGS A DEPARTMENT OF BROOKINGS is an AHC clinic located in BROOKINGS, SD. NPPES has assigned the NPI number 1982057246 to AVERA MEDICAL GROUP SPECIALTY CARE BROOKINGS A DEPARTMENT OF BROOKINGS on July 21, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP SPECIALTY CARE BROOKINGS A DEPARTMENT OF BROOKINGS” is a dba name, the actual legal business name for this organization is CITY OF BROOKINGS. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 10 years ago on Aug 03, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MEDICAL GROUP SPECIALTY CARE BROOKINGS A DEPARTMENT OF BROOKINGS below.

NPI Profile for
CITY OF BROOKINGS

NPI Number
1982057246
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CITY OF BROOKINGS
Doing Business As (dba): AVERA MEDICAL GROUP SPECIALTY CARE BROOKINGS A DEPARTMENT OF BROOKINGS
Primary location
310 22ND AVENUE
BROOKINGS, SD 57006
Phone: (605) 696-9000 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - AVERA MEDICAL GROUP SPECIALTY CARE BROOKINGS A DEPARTMENT OF BROOKINGS is subpart of another organization.
Authorized Official
JASON MERKLEY
CEO
Phone: (605) 696-8010
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.