Provider Demographics
NPI:1588819783
Name:BROOKINGS FAMILY PLANNING
Entity Type:Organization
Organization Name:BROOKINGS FAMILY PLANNING
Other - Org Name:SANFORD BROOKINGS FAMILY PLANNING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR SHCCS-SDSU
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:LUNDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-688-4157
Mailing Address - Street 1:1440 N CAMPUS DR
Mailing Address - Street 2:WELLNESS CENTER BOX 2818
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57107-0001
Mailing Address - Country:US
Mailing Address - Phone:605-688-4157
Mailing Address - Fax:605-688-6450
Practice Address - Street 1:1440 N CAMPUS DR
Practice Address - Street 2:WELLNESS CENTER
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57107-0001
Practice Address - Country:US
Practice Address - Phone:605-688-4157
Practice Address - Fax:605-688-6450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility