Prairie States Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

47078 Issued in SD

Legal business name

PRAIRIE STATES SURGICAL CENTER LLC

Practice address

2908 E 26TH St Ste B
Sioux Falls, SD 57103-4034

Phone

(605) 336-2638

Fax

(605) 334-3500

NPI assigned

May 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan M Carley

Title

Administrator

Phone

(605) 336-2638

Specialties & licenses 1

Addresses

Other identifiers 5

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Orthopaedic Consultants LTD

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1033160676

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1427009034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 E 26TH ST STE B",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034034",
            "telephone_number": "605-336-2638",
            "fax_number": "605-334-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 E 26TH ST STE B",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034034",
            "telephone_number": "605-336-2638",
            "fax_number": "605-334-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE STATES SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "CARLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-336-2638"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SD",
            "license": "47078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550558",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "7Y49PR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826730800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "81017",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5490300",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prairie Rehabilitation Services, Inc
• Prairie Rehabilitation Services, Inc.
• Prairie Rehabilitation Services, Inc.
• Prairie Rehabilitation Services, Inc.
• Prairie Roots Chiropractic & Functional Medicine
• Prairie View Prevention Services, Inc.
• Kayla Lynne Prasch, APRN-NP
• Rylan Pratt, DPT
• Precision Focus, PC
• Precision Vision Inc

• Ambulatory Surgical Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Ambulatory Surgical Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.