NPIMap

Organization Active NPI

Sdsu Student Health Clinic

  • Student Health Clinic/Center
  • Brookings, SD
National Provider Identifier
1689801896
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
SDSU STUDENT HEALTH CLINIC
Practice address
N. Campus Drive
Wellness Center
Brookings, SD 57007
Phone
(605) 688-4157
NPI assigned
Jun 15, 2009
Organization subpart
Yes
Parent organization
SDSU STUDENT HEALTH CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brenda F. Andersen, CNP
Title
Associate Director
Phone
(605) 688-4157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

N. Campus Drive
Wellness Center
Brookings, SD 57007

Mailing address

N. Campus Drive
Wellness Center, Box 2818
Brookings, SD 57007
Phone (605) 688-4157

Other names 1

  • Brookings Family Planning Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
SD Dept of HLTH Dba CHI35 organizations share this tax ID, including this one
Part of
SD Dept of HLTH Dba CHI

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

N Campus Dr
Brookings, SD 57007
Phone (605) 688-4157

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1689801896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N. CAMPUS DRIVE",
            "address_2": "WELLNESS CENTER, BOX 2818",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57007",
            "telephone_number": "605-688-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N. CAMPUS DRIVE",
            "address_2": "WELLNESS CENTER",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57007",
            "telephone_number": "605-688-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDSU STUDENT HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SDSU STUDENT HEALTH CLINIC",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "605-688-4157",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookings Family Planning Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.