Prairie Community Health Inc.

Organization Active NPI Medical Physician Assistant · Dupree, SD

NPI 1306269287 · NPPES record last updated Jan 28, 2014

Key facts

NPI
1306269287
Entity type
Organization (NPI type 2)
Primary specialty
Medical Physician Assistant 363AM0700X
Legal business name
PRAIRIE COMMUNITY HEALTH INC.
Practice address
223 A Street
Dupree, SD 57623-9999
Phone
(605) 466-2122
Fax
(605) 466-2504
NPI assigned
Jan 28, 2014
Organization subpart
Yes
Parent organization (as reported)
PRAIRIE COMMUNITY HEALTH INC.

Authorized official

Name
Pamela Locken
Title
Ceo
Phone
(605) 466-2122

National Provider Directory

Part of
Prarie Community Health Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
363AM0700X Yes

Addresses

Primary practice location

223 A Street
Dupree, SD 57623-9999

Mailing address

PO Box 97
118 N Main
Isabel, SD 57633-0097
Phone (605) 466-2122

Other names

  • Dupree School Clinic Doing business as

Other providers in Dupree, SD

All providers in Dupree, SD · Medical Physician Assistant in South Dakota

Sources for this page

Verify at the official NPI Registry.