PRAIRIE LAKES HEALTH CARE SYSTEM INC – NPI #1174569669
Clinic/Center

PRAIRIE LAKES HEALTH CARE SYSTEM INC is an AHC clinic located in SISSETON, SD. NPPES has assigned the NPI number 1174569669 to PRAIRIE LAKES HEALTH CARE SYSTEM INC on June 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was last updated on Nov 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRAIRIE LAKES HEALTH CARE SYSTEM INC below.

NPI Profile for
PRAIRIE LAKES HEALTH CARE SYSTEM INC

NPI Number
1174569669
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRAIRIE LAKES HEALTH CARE SYSTEM INC
Primary location
100 LAKE TRAVERSE DR
SISSETON, SD 57262
Phone: (605) 882-7000 Fax: (605) 882-7607
Mailing address
401 9TH AVE NW
WATERTOWN, SD 57201-1548
Phone: (605) 882-7000 Fax: (605) 882-7607
Organization Subpart
No
Authorized Official
TONY MORRISON
VICE PRESIDENT, REVENUE CYCLE
Phone: (605) 328-8380
Updated
Certification Date
Nov 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.