FAY WOOKEY MEMORIAL ASSISTED LIVING CENTER
NPI 1720143316
Assisted Living Facility in Clark, SD

Q: What is Fay Wookey Memorial, Inc.'s NPI number?

The NPI number for Fay Wookey Memorial, Inc. is 1720143316. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is doing business as Fay Wookey Memorial Assisted Living Center.

Q: What is Fay Wookey Memorial, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since December 26, 2006CLIA 43D2005808 · Waiver

700 N SMITH ST, CLARK, SD 57225(605) 532-5799(605) 532-1320 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fay Wookey Memorial Assisted Living Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAY WOOKEY MEMORIAL ASSISTED LIVING CENTER (NPI 1720143316) is a healthcare organization registered as an assisted living facility in Clark, South Dakota and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Gayle Donette Wookey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720143316

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFAY WOOKEY MEMORIAL, INC.

Location Address700 N SMITH STClark, SD 57225-1120

Mailing Address700 N Smith StClark, SD 57225-1120 · (605) 532-5799 · Fax (605) 532-1320

Phone(605) 532-5799

Fax(605) 532-1320

Organization SubpartNo

Authorized OfficialGayle Donette WookeyAdministrator · (605) 532-5799

Enumeration DateDecember 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1720143316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in SD · 11038

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

700 N SMITH ST, Clark, SD 57225

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Other Names 1

Doing Business AsFay Wookey Memorial Assisted Living Center

Other Identifiers 1

Medicaid9570180SD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D2005808

Fay Wookey Memorial Alc · Clark, SD

Active · expires Apr 5, 2028

CLIA Number43D2005808

Laboratory TypeAssisted Living Facility

Certificate Effective DateApril 6, 2026

Certificate Expiration DateApril 5, 2028

Laboratory DirectorGayle D. Wookey

Laboratory Phone(605) 532-5799

Laboratory LocationFay Wookey Memorial Alc700 N Smith, Clark, SD 57225

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fay Wookey Memorial, Inc.'s NPI number?

The NPI number for Fay Wookey Memorial, Inc. is 1720143316. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is doing business as Fay Wookey Memorial Assisted Living Center.

Where is Fay Wookey Memorial, Inc. located?

Fay Wookey Memorial, Inc. is located at 700 N Smith St, Clark, SD 57225. The listed phone number is (605) 532-5799.

What is Fay Wookey Memorial, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Fay Wookey Memorial, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D2005808) is associated with this NPI, valid through April 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fay Wookey Memorial, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.