Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prairie Lakes Health Care System Inc

Organization Family Medicine Physician · NPI 1396525143

Prairie Lakes Health Care System Inc is a Family Medicine Physician in Watertown, South Dakota. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

506 1st Ave SE
Watertown, SD 57201-4402
Phone: (605) 886-8482
Fax: (605) 884-4332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 511 14th Ave Ne, Watertown, SD 57201-6811 — (605) 886-8482

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Nuclear Radiology Physician Taxonomy 2085N0904X
Podiatrist Taxonomy 213E00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1396525143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Morrison — Vice President, Revenue Cycle · (605) 328-8380
Other names Prairie Lakes Brown Clinic; Sanford Health Hwy 81 Clinic; Sanford Health Northridge Clinic
NPI enumeratedSeptember 29, 2023
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing addressPo Box 1210, Watertown, SD 57201-6210

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