PRAIRIE LAKES HEALTH CARE SYSTEMS INC (NPI# 1467480640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467480640 |
| Entity Type | Organization |
| Organization Name | PRAIRIE LAKES HEALTH CARE SYSTEMS INC |
| Other Organization Name | PRAIRIE LAKES HOSPICE |
| 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 | 2006-06-28 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MR. MICHAEL E ANDERSON (CFO) |
| Authorized Official Telephone | 6058827718 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRAIRIE LAKES HEALTH CARS SYSTEMS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | SD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0154030 | 05 |
| Other Name | Type Code |
|---|---|
| Prairie Lakes Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720166002 | Prairie Lakes Health Care Systems Inc | General Acute Care Hospital | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-11-02 |
| 1124056742 | Prairie Lakes Health Care Systems Inc | Clinic/Center | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-06-30 |
| 1659316214 | Prairie Lakes Health Care Systems Inc | General Acute Care Hospital | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-06-18 |
| 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 |
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| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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|---|---|---|---|---|
| 1164426433 | Hospice of Jefferson County, Inc. | Hospice Care, Community Based | 1398 Gotham Street, Watertown, NY 13601 | 2005-06-02 |
| 1184018186 | Caregroup Parmenter Home Care & Hospice, Inc. | Hospice Care, Community Based | 1 Arsenal Market Pl, Watertown, MA 02472-5018 | 2015-03-27 |
| 1083652333 | Marquardt Home and Community Based Services, Inc. | Hospice Care, Community Based | 1020 Hill St, Watertown, WI 53098-3016 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811340821 | Crystal Clear Solutions L.L.C. | Hospice Care, Community Based | 110 E Center St # 2999, Madison, SD 57042-2908 | 2016-07-14 |
| 1518338227 | Grace of The Pines Hospice LLC | Hospice Care, Community Based | 145 N Chicago St, Hot Springs, SD 57747-1631 | 2015-10-08 |
| 1043407000 | Sanford Home Health | Hospice Care, Community Based | 110 W Beebe Ave, Suite 1, Chamberlain, SD 57325-1224 | 2007-10-03 |
| 1467474239 | Avera At Home | Hospice Care, Community Based | 4509 Prince of Peace Pl, Hospice Unit, Sioux Falls, SD 57103-5830 | 2006-07-24 |
| 1255358248 | Hospice Preferred Choice, Inc. | Hospice Care, Community Based | 528 N Sycamore Ave, Sioux Falls, SD 57110-5737 | 2006-07-16 |
| 1952375164 | Regional Health Network Inc | Hospice Care, Community Based | 1440 North Main Street, Spearfish, SD 57783-1505 | 2006-02-14 |
| 1679572366 | Sanford Home Health | Hospice Care, Community Based | 2710 W 12th St, Sioux Falls, SD 57104-3701 | 2005-07-15 |
| 1215930847 | Compassionate Care Hospice of The Midwest, LLC | Hospice Care, Community Based | 3415 N Potsdam Ave, Sioux Falls, SD 57104-7017 | 2005-05-27 |
| 1386129666 | Caringedge Hospice of Sioux Falls | Hospice Care, Community Based | 1810 S Dorothy Ave, Sioux Falls, SD 57106-3826 | 2018-10-02 |
| 1952886236 | Caringedge Hospice of Pierre | Hospice Care, Community Based | 1950 E 4th St, Pierre, SD 57501-4201 | 2018-10-02 |
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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.