OrganizationActive
Prairie Lakes Health Care System Inc
NPI 1467682039 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Watertown, SD
Provider details
- NPI number
- 1467682039
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tony Morrison, Vice President, Revenue Cycle(605) 328-8380
- License
- 10572 (SD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 9th Ave Nw
Watertown, SD 57201-1548
Phone: (605) 882-7000
Street-level locationGet directions
Mailing address
401 9th Ave Nw
Watertown, SD 57201-1548
Other names (DBA / former)
- Doing business as
- Prairie Lakes Peritoneal Dialysis
- Doing business as
- Prairie Lakes Peritoneal Dialysis
Registry dates
- Enumerated
- 2009-07-17
- 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.