PRAIRIE VIEW MEDICAL PROF. LLC NPI 1508635772

NPI Information

  • NPI: 1508635772
  • Provider Name: PRAIRIE VIEW MEDICAL, PROF. LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: PRAIRIE VIEW MEDICAL CLINIC
  • CLIA Number: 43D2301313
  • Address: 3405 6TH ST STE 5
    BROOKINGS, SD
    ZIP 57006
  • Phone: (605) 695-6712

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NPI Details

PRAIRIE VIEW MEDICAL, PROF. LLC is a primary care clinic center in Brookings, SD. PRAIRIE VIEW MEDICAL, PROF. LLC NPI is 1508635772. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie View Medical Clinic.

The provider's business location address is:

3405 6TH ST STE 5
BROOKINGS, SD
ZIP 57006-401
Phone: (605) 695-6712

The provider's authorized official is Jennifer Olson .
The authorized official title is President/ceo and has the following contact phone number (605) 693-7862.

The CLIA number assigned to this NPI record is 43D2301313 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2023 and was last updated on 4/17/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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