Provider Demographics
NPI:1447951157
Name:BROOKINGS AREA UNITED WAY
Entity type:Organization
Organization Name:BROOKINGS AREA UNITED WAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:GULLICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-692-4979
Mailing Address - Street 1:PO BOX 750
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006-0750
Mailing Address - Country:US
Mailing Address - Phone:605-692-4979
Mailing Address - Fax:
Practice Address - Street 1:908 HOPE DRIVE
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006
Practice Address - Country:US
Practice Address - Phone:605-692-4979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty