OrganizationActive
Prairie Lakes Health Care System Inc
NPI 1124056742 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Watertown, SD
Provider details
- NPI number
- 1124056742
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Prairie Lakes Health Care System Inc
- Organization subpart
- Yes
- Authorized official
- Tony Morrison, Vice President, Revenue Cycle(605) 328-8380
- License
- 10572 (SD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
401 9th Ave Nw
Watertown, SD 57201-1548
Phone: (605) 882-7000
Fax: (605) 882-7607
Approximate (ZIP-level) locationGet directions
Mailing address
401 9th Ave Nw
Watertown, SD 57201-1548
Other names (DBA / former)
- Doing business as
- Prairie Lakes Kidney Dialysis Watertown
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.