PRAIRIE LAKES HEALTHCARE SYSTEMS INC


Address: 401 9th Ave Nw, Watertown, SD 57201-1548
Phone: 6058827000

PRAIRIE LAKES HEALTHCARE SYSTEMS INC (NPI# 1467682039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467682039
Entity Type Organization
Organization Name PRAIRIE LAKES HEALTHCARE SYSTEMS INC
Other Organization Name PRAIRIE LAKES PERITONEAL DIALYSIS
Practice Address 401 9th Ave Nw
Watertown
SD 57201-1548
Mailing Address 401 9th Ave Nw
Po Box 1210
Watertown
SD 57201-1548
Practice Telephone 6058827000
Mailing Telephone 6058827000
Enumeration Date 2009-07-17
Last Update Date 2010-05-14
Authorized Official Name TRACI RABINE (BUSINESS OFFICE SUPERVISOR)
Authorized Official Telephone 6058827921
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
10572 SD Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Prairie Lakes Peritoneal Dialysis Doing Business As Name - Organization

Office Location

Street Address 401 9TH AVE NW
City WATERTOWN
State SD
Zip Code 57201-1548

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437690898 Total Renal Care Inc Clinic/Center 1905 Market Way, Watertown, WI 53094-7466 2017-03-17
1598839540 Renal Care of Northern New York, LLC Clinic/Center 19320 Washington Street, Suite II, Watertown, NY 13601 2006-11-20
1922184563 Purity Dialysis Centers, Inc Clinic/Center 123 Hospital Dr Ste 1004, Watertown, WI 53098-3390 2006-10-27
1710368618 Watertown Dialysis Center, LLC Clinic/Center 22571 Summit Dr, Watertown, NY 13601-7233 2015-06-16
1366538514 Total Renal Care, Inc. Clinic/Center 506 1st Ave Se, Watertown, SD 57201-4402 2006-10-05
1124056742 Prairie Lakes Health Care Systems Inc Clinic/Center 401 9th Ave Nw, Watertown, SD 57201-1548 2006-06-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437502614 Total Renal Care Inc Clinic/Center 3313 6th Ave Se, Aberdeen, SD 57401-5504 2016-07-22
1922318666 Dialysis Management Group LLC Clinic/Center Hcr 49, Porcupine, SD 57772-0000 2010-10-15
1255415246 Monument Health Rapid City Hospital, Inc. Clinic/Center 132 Yankee St, Spearfish, SD 57783-2948 2006-10-25
1184711061 Total Renal Care Clinic/Center 400 Park, Gregory, SD 57533 2006-10-10
1710087713 Black Hills Dialysis, LLC Clinic/Center 100 Dialysis Drive, Pine Ridge, SD 57770-3013 2006-09-22
1356301519 Total Renal Care Inc Clinic/Center 1 Soldier Creek Rd, Rosebud, SD 57570-0610 2006-03-23
1033178660 Total Renal Care Inc Clinic/Center 2326 W 69th St, Sioux Falls, SD 57108-5600 2006-03-22
1477512093 Total Renal Care Inc Clinic/Center 819 E Spruce St, Ste 100, Mitchell, SD 57301-4800 2006-03-22
1487621116 Monument Health Rapid City Hospital, Inc. Clinic/Center 640 Flormann St Ste 401, Rapid City, SD 57701-4679 2006-03-01
1881110484 Sanford Medical Center Clinic/Center 1321 W 22nd St, Sioux Falls, SD 57105-1502 2017-08-16
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Competitor

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City WATERTOWN
Zip Code 57201

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Dataset Information

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.

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