City of Brookings
NPI 1417039504ActiveOrganization· Skilled Nursing Facility· Brookings, SD
Skilled Nursing Facility in Brookings, South Dakota, registered in NPPES in October 2006. The authorized official on file is Melissa Wagner, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1417039504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | Dec 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 10600 | SD |
| Nursing Facility/Intermediate Care Facility | 313M00000X | — | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (SD) |
|---|
Other Skilled Nursing Facility providers in Brookings
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