| Family Wellness Clinic | |
|
216 W 2nd St S Brookings SD 57006-1827 | |
| (605) 692-1772 | |
| (605) 692-2353 |
| Full Name | Family Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 216 W 2nd St S, Brookings, South Dakota |
| Authorized Official Name and Position | Danielle Marie Hohm (CERTIFIED NURSE PRACTITIONER) |
| Authorized Official Contact | 6056921772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Clinic 216 W 2nd St S Brookings SD 57006-1827 Ph: (605) 692-1772 | Family Wellness Clinic 216 W 2nd St S Brookings SD 57006-1827 Ph: (605) 692-1772 |
| NPI Number | 1588223440 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 07/13/2021 |
| Medicare PECOS PAC ID | 9537496054 |
|---|---|
| Medicare Enrollment ID | O20190807000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588223440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Christina Jo Tietjen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205888054 PECOS PAC ID: 5496765455 Enrollment ID: I20060504000599 |
| Provider Name | Jennifer Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285623439 PECOS PAC ID: 7810945243 Enrollment ID: I20070226000300 |
| Provider Name | Danielle Marie Hohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679132534 PECOS PAC ID: 1355678871 Enrollment ID: I20190807001044 |
| Provider Name | Jodi Marie Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538872999 PECOS PAC ID: 3678944923 Enrollment ID: I20230124001297 |
Sanford Clinic Brookings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 22nd Ave S, Brookings, SD 57006 Phone: 605-397-1900 Fax: 605-697-1919 | |
Avera Medical Group A Department Of Brookings Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 | |
Rural Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 22nd Ave Ste 1, Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-9627 | |
Prairie View Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3405 6th St Ste 5, Brookings, SD 57006 Phone: 605-695-6712 | |
Dr. Chad D. Kalil, Optometrist P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 6th St, Brookings, SD 57006 Phone: 605-692-3595 | |
Avera Medical Group Brookings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 22nd Ave., Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 |