Prairie Phoenix Pllc

LBN: Prairie Phoenix Pllc
Prairie Phoenix Pllc is an health care organization with primary practice located at 120 N Wind St , Flandreau SD 57028-1245. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Prairie Phoenix Pllc can be contacted via phone (605) 428-3040, or through Kitto, Abbey via phone (605) 428-3040.

Contact Information

Primary practice address
120 N Wind St Flandreau SD 57028-1245
Phone: (605) 428-3040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kitto, Abbey DNP
Phone: (605) 428-3040

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1942875166
LBN Legal business name Prairie Phoenix Pllc
DBA Doing business as
Authorized official Kitto, Abbey DNP
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2021
Last updated May 28th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942875166 NPPES
South Dakota Other 363LF0000X LICENSE

Popular Providers