PRAIRIE FAMILY HEALTHCARE, P.C. (NPI# 1962648287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962648287 |
Entity Type | Organization |
Organization Name | PRAIRIE FAMILY HEALTHCARE, P.C. |
Practice Address |
1115 E 5th Ave Mitchell SD 57301-2917 |
Practice Telephone | 6059965553 |
Practice Fax Number | 6059961213 |
Mailing Telephone | 6059965553 |
Mailing Fax Number | 6059961213 |
Enumeration Date | 2008-12-17 |
Last Update Date | 2008-12-17 |
Authorized Official Name | DIANE LYNN KENKEL (PRESIDENT) |
Authorized Official Telephone | 6059965553 |
Authorized Official Credential | CNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | CP000190 | SD | Ambulatory Health Care Facilities |
Street Address |
1115 E 5TH AVE |
City | MITCHELL |
State | SD |
Zip Code | 57301-2917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215932918 | Avera At Home | Home Health | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2005-06-17 |
1861740151 | Avera Queen of Peace | Urology | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2012-08-17 |
1871757617 | James Michael Hayes | Counselor | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2008-07-10 |
1740313121 | Avera At Home | Home Health | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2007-03-14 |
1518002823 | Catholic Family Services | Counselor | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2007-02-21 |
1508937087 | Arturo Zambrano | Counselor | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2006-11-13 |
1639271034 | Lucio N Margallo II | Internal Medicine | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2006-09-05 |
1588662688 | Diane L Kenkel | Nurse Practitioner | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2005-07-12 |
1124023825 | Avera At Home | Hospice, Inpatient | 1115 E 5th Ave, Mitchell, SD 57301-2917 | 2005-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932721388 | Dakota Counseling Institute | Social Worker | 910 W Havens, Mitchell, SD 57301 | 2020-05-08 |
1215588512 | Carolyn Marie Klinkhammer | Registered Nurse | 525 North Foster - Avera Queen of Peace Hospital, Mitchell, SD 57301 | 2019-09-27 |
1720596893 | Brian Bannwarth | Pharmacist | 25147 Campground Road, Mitchell, SD 57301 | 2018-01-11 |
1336664135 | Haley Long | Speech-Language Pathologist | 200 East Havens, Mitchell, SD 57301 | 2017-08-14 |
1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
1467831685 | Amanda Louise Johnson | Physical Therapist | 910 S Edgerton, Mitchell, SD 57301 | 2015-05-20 |
1922432830 | Melissa Jill Maier | Dentist | 240 E 23 Ave, Mitchell, SD 57301 | 2013-08-27 |
1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
1184945958 | Kimberly L Lienemann | Counselor | 403 N Lawler St, Mitchell, SD 57301 | 2010-06-16 |
1134365554 | Gronsten-maier Dental Prof. LLC | Dentist | 240 E. 23rd Avenue, Mitchell, SD 57301 | 2009-01-07 |
Find all providers in zip 57301 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336771005 | Integrated Massage Solutions | Clinic/Center | 305 N Lawler St, Mitchell, SD 57301-2635 | 2020-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164069506 | Sanford Clinic | Clinic/Center | 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 | 2019-12-04 |
1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
1558742098 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 S 1st Ave, Martin, SD 57551-5835 | 2015-06-10 |
1437547155 | Solutions Chiropractic Clinic, LLC | Clinic/Center | 405 E Omaha St Ste D, Rapid City, SD 57701 | 2015-01-05 |
1538582416 | Prairie Community Health Inc | Clinic/Center | 223 A St, Dupree, SD 57623-9998 | 2014-01-28 |
1598051708 | Women's Wellness Center, Prof. L.L.C. | Clinic/Center | 2390 Hawaii Ave Sw, Huron, SD 57350-4316 | 2011-06-26 |
1588978589 | Coteau Des Prairies Hospital | Clinic/Center | 116 W. Main Street, Rosholt, SD 57260-0000 | 2010-08-02 |
1790915114 | Healthfirst Chiropractic of Watertown | Clinic/Center | 1024 29th St Se, Watertown, SD 57201-9120 | 2009-07-20 |
1063664654 | Swanson Chiropractic, P.C. | Clinic/Center | 420 E Saint Patrick St, 101, Rapid City, SD 57701-4202 | 2008-10-15 |
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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.