PRAIRIE LAKES HEALTH CARE SYSTEMS INC. NPI 1174569669

NPI Information

PRAIRIE LAKES HEALTH CARE SYSTEMS INC. is an end-stage renal disease (esrd) treatment clinic center in Sisseton, SD. PRAIRIE LAKES HEALTH CARE SYSTEMS INC. NPI is 1174569669. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie Lakes Kidney Dialysis Sisseton.

The provider's business location address is:

100 LAKE TRAVERSE DR
SISSETON, SD
ZIP 57262
Phone: (605) 882-7000
Fax: (605) 882-7607

The provider's authorized official is Douglas Adam Popp .
The authorized official title is Cfo and has the following contact phone number (605) 882-7718.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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