PRAIRIE LAKES HEALTHCARE SYSTEM INC (NPI# 1205851458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205851458 |
| Entity Type | Organization |
| Organization Name | PRAIRIE LAKES HEALTHCARE SYSTEM INC |
| Other Organization Name | PRAIRIE LAKES HOME HEALTH |
| Practice Address |
401 9th Ave Nw Watertown SD 57201-1548 |
| Practice Telephone | 6058827000 |
| Practice Fax Number | 6058827607 |
| Mailing Telephone | 6058827000 |
| Mailing Fax Number | 6058827607 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | MR. MICHAEL E ANDERSON (CFO) |
| Authorized Official Telephone | 6058827718 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRAIRIE LAKES HEALTHCARE SYSTEM INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0170440 | 05 |
| Other Name | Type Code |
|---|---|
| Prairie Lakes Home Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285662742 | Prairie Lakes Healthcare System Inc | Pharmacy | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-06-30 |
| Street Address |
401 9TH AVE NW |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477287 | Steven E Miller | Internal Medicine | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2005-06-20 |
| 1306485172 | Haley Marie Ellis | Registered Nurse | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2019-12-27 |
| 1871136549 | Shelly Eileen Holida | Speech-Language Pathologist | 401 9th Ave Nw, Watertown, SD 57201-1599 | 2019-10-24 |
| 1366916645 | Kari Ann Berg | Registered Nurse | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2019-01-19 |
| 1194292987 | Misty Dawn Blough Hildenbrand | Dietitian, Registered | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-10-30 |
| 1548778897 | Heidi Wirtjes | Social Worker | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-01-19 |
| 1134637796 | Amanda L Schaeffer | Social Worker | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-01-17 |
| 1063920890 | Sara Leigh Crawford Foust | Social Worker | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2018-01-15 |
| 1972023083 | Katelynn Elizabeth Bailey | Emergency Medicine | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2017-06-21 |
| 1811431877 | Megan Merkel | Nurse Practitioner | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2016-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1588789036 | Kjm Enterprises Inc | Home Health | 111 N Third Street, Watertown, WI 53094 | 2007-03-20 |
| 1255300299 | Caring Companions LLC | Home Health | 507 S 5th St, Watertown, WI 53094-4608 | 2006-03-14 |
| 1902880016 | Mount Auburn Hospital | Home Health | 1 Arsenal Market Pl, Watertown, MA 02472-5018 | 2005-12-01 |
| 1972505154 | Watertown Regional Medical Center, Inc | Home Health | 125 Hospital Dr, Watertown, WI 53098-3303 | 2005-06-01 |
| 1043213283 | Jefferson County | Home Health | 531 Meade St, Watertown, NY 13601-1225 | 2005-05-23 |
| 1750384939 | Vna Health At Home, Inc | Home Health | 27 Siemon Company Dr, Ste 101, Watertown, CT 06795-2654 | 2005-05-23 |
| 1477006716 | Allume Home Care LLC | Home Health | 1044 Main St, 12, Watertown, CT 06795-2930 | 2016-08-03 |
| 1265880413 | Prospect Waterbury Home Health, Inc. | Home Health | 27 Siemon Company Dr, Suite 101, Watertown, CT 06795-2654 | 2016-05-27 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.