| NPI | 1174516124 |
|---|---|
| Doing Business As | PRAIRIE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | NICOLE J NEUGEBAUER Clinic Office Manager 605-724-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-10-19 |