Organization Name: | BROOKINGS HEALTH SYSTEM/AVERA HOME MEDICAL EQUIPMENT LLC |
NPI Number: | 1760752414 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE NORTON (CFO) |
Mailing Address: | 100 22nd Ave Suite 101 Brookings |
State: | SD US |
Postal Code: | 570062425 |
Phone Number: | 6056926696 |
Fax Number: | 6056926697 |
NPI Enumeration Date: | 01/11/2012 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 10249799ST |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |