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).
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 |
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 Name | Type Code |
---|---|
Prairie Lakes Peritoneal Dialysis | Doing Business As Name - Organization |
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 | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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 |
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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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.