Organization · Type 2 NPI
Prairie Lakes Health Care System Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Watertown, SD
NPI number
1124056742
Active
Practice location
401 9th Ave NW
Watertown, SD 57201-1548
Fax (605) 882-7607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 10572 (SD) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1124056742
Prairie Lakes Health Care System Inc's National Provider Identifier is 1124056742, issued on Jun 30, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Watertown, SD. The record was last updated on Nov 20, 2025.