Active NPI
Prairie Lakes Health Care System Inc
- Medicare Defined Swing Bed Hospital Unit
- Watertown, SD
National Provider Identifier
1114942364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 10572
- Legal business name
- PRAIRIE LAKES HEALTH CARE SYSTEM INC
- Practice address
- 401 9TH Ave NW
Watertown, SD 57201-1548 - Phone
- (605) 882-7000
- Fax
- (605) 882-7607
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony Lee Morrison
- Title
- Vice President, Revenue Cycle
- Phone
- (605) 328-8380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 10572 | SD | Primary |
Addresses
Primary practice location
401 9TH Ave NW
Watertown, SD 57201-1548
Mailing address
401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159920 | Medicaid | SD |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Prairie Lakes Brown Clinic
- Family Medicine Physician
- Watertown, SD
- NPI 1396525143
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1114942364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 9TH AVE NW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011548",
"telephone_number": "605-882-7000",
"fax_number": "605-882-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 9TH AVE NW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011548",
"telephone_number": "605-882-7000",
"fax_number": "605-882-7607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAIRIE LAKES HEALTH CARE SYSTEM INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
"authorized_official_telephone_number": "605-328-8380"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "SD",
"license": "10572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159920",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
- Nicholas Charles Pillatzke, DC
- Kayla Ann Pinkert
- Robby Alex Poore
- Ryan Frederick Poppe, RN
- Jill Anita Pownell, O.D.
- Prairie Lakes Health Care System Inc (Prairie Lakes Kidney Dialysis Watertown)
- Prairie Lakes Health Care System Inc (Sanford Home Health Watertown)
- Prairie Lakes Health Care System Inc (Prairie Lakes Campus Pharmacy)
- Prairie Lakes Health Care System Inc (Prairie Lakes Brown Clinic)
- Prairie Lakes Health Care System Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.