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Organization
PRAIRIE LAKES HEALTH CARE SYSTEM INC
Active
Organization
PRAIRIE LAKES HEALTH CARE SYSTEM INC
Active
Other names
Prairie Lakes Brown Clinic, Sanford Health Northridge Clinic, Sanford Health Hwy 81 clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 886-8482
(605) 884-4332
Mailing address
PO BOX 1210, WATERTOWN, SD 57201-6210
(605) 882-7000
(605) 882-7607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/29/2023
Last updated
07/20/2026
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