Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1811318074 |
| LBN Legal business name | CITY OF BROOKINGS |
| Authorized official | MELISSA WAGNER - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/13/2013 |
| Last updated | 12/04/2018 - About 8 years ago |
| Identifiers | n/a |
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CITY OF BROOKINGS
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