| NPI | 1700908167 |
|---|---|
| Doing Business As | PRAIRIE PINES LODGE |
| Entity Type | Organization |
| Authorized Contact | NATHAN HOUGH CEO 308-432-5586 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: NE 21001) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2020-08-17 |