Prairie Lake Care Center

LBN: Prairie Lakes Healthcare
Prairie Lake Care Center is an health care organization with primary practice located at 415 4Th Ave Ne , Watertown SD 57201-2614. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Prairie Lakes Healthcare can be contacted via phone (605) 882-7000, or through Turbak, Michele via phone (605) 882-7000.

Contact Information

Primary practice address
415 4Th Ave Ne Watertown SD 57201-2614
Fax: (605) 882-7607
Website:
Authorized official contact:
Name: Turbak, Michele CNO

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10704 South Dakota

Profile Details

NPI number 1073543450
LBN Legal business name Prairie Lakes Healthcare
DBA Doing business as Prairie Lake Care Center
Authorized official Turbak, Michele CNO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 29th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073543450 NPPES
South Dakota MEDICAID 0151110

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